WQ0045839_The_Village_at_Lake_Mackintosh_Phase_1_FTSSE_App_20240925

Docusign Envelope ID: OOE889C3-27E5-431E-9627-97486B8F91E4
DW111KE11"
NC Deloartmelit of
criv7ronmental Quality
Received
SEP 2024
Division of Water Resources
Winston-Salem
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 10-23 & 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: LeoTerra Greeson Development, 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: Christopher Lvon� per 15A NCAC 02T .0106( b )
Title: Manager
4. Applicant's mailing address: 110-A Shields Park Drive
City: Kemersville State: NC Zip: 27284-
5. Applicant's contact information:
Phone number: 336) 671-1858 / Email Address: buddy.lvons d,,leoterradeveloRment.com
I1. PROJECT INFORMATION:
1. Project name: The Village at Lake Mackintosh - Phase 1
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project ❑ ARPA funded
If a modification, provide the existing permit number: WQ00 and issued date: ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Alamanee
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.0467' Longitude:-79.5192'
5. Parcel ID (if applicable): 8843660578 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Robert L. Fro'st License Number: 039713
Firm: NC Design Solutions. Inca
Mailing address: 6701 Carmel Road. Ste 205
City: Charlotte ' State: NC Zip: 28226-
Phone number: (704) 614-83.59 Email Address: rfrostfii:,ncdesiLnsolutions.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name:South Burlington WWTP Permit Number: NCO023876
Owner Name: City of Burlington
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ Unknown
i
2. Downstream (Receiving) Sewer Information: 24 inch ® Gravity ❑ Force Main
i
3. System Wide Collection System Permit Number(s) (if applicable): WQCS 00008
Owner Name(s): City of Burlington '
FORM: FTA 10-23 Page 1 of 5

RECEIVED 9/26/2024
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 Flow','
No. of Units
Flow
Dwelling Units (3 bedrooms per unit)
225 gal/day
139
31,275 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
31,275 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in 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: 31,275 GPD (per 15A NCAC 02T .0114 and G.S. 143-215.1)
➢ 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 10-23 Page 2 of 5

.DecuSign Envelope ID:OOE889C3-27E5-431E-9627-97486BBF91E4
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 t FORM: DEV i been attached?
® Yes ❑ No ❑ N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Aereement (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 .0103t20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes No
6. Has a flow reduction been approved under 15A NCAC 02T -0114i l l? ❑ Yes ❑ No
➢ If ves, provide a cotiv of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
No. of Units
Flow
Dwelling Units V ✓", -
225 gal/day
139
31,275 GPD
gal/
GPD
gall
GPD
gall
GPD
gal/
GPD
gal/
GPD
Total
31,275 GPD
a See 15A NCAC 02T .0114(b), (.d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using availableflow�data,'pvater using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: _ GPD (per 15A NCAC 02T .0114 and G.S. 143-215.0
➢ 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 10-23 Page 2 of 5

Docusign Envelope ID: OOE889C3-27E5-431E-9627-97486B8F91E4
V1I. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 &MDC (Gravith Sewers):
l . Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8"
2,267
VCP
8"
916
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
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC IPumu 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: Longitude: - °
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)
S. 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 2.01 C. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)t I }:
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 10-23 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 arations that shall be provided for sewers stems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
'Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-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
* 15A NCAC 02T.0305(e) 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 webnaee
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: Ca ep Fear ❑ 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 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits Yes ❑ No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(cl(6) (additional permits/certifications)? ® Yes ElNo
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 -(erasion
and sedimentation control plans, stormwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" aZYes ❑-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 10-23 Page 4 of 5

Docusign Envelope ID: OOE889C3-27E5-431 E-9627-97486B8F91 E4
X. CERTIFICATIONS:
Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version 1. and the Gravitv Sewer Minimum Design Criteria (latest version) as applicable?
® '�es ❑ 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 protects requiring two or more variances or where the variance is determined bi- the Division to be a
shruficant portion of the proiect, the full technical review is required
2. Professional Engineer's Certification:
I, Robert L. Frost ' attest that this application for The Village at Lake Mackintosh - Phase 1
(Professional Engineer's name from Application Item I11.1.) (Project Name from Application Item II.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 Gravit% Sewers (latest version;, and the Minimum Design Criteria for the Fast -Track Pennittin-,
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)
North Carolina Professional Engineer's seal, signature, and date: \,\`\ �11 i CiA RO // '
OQ�.FEgs�
O%
SE
71
F
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09.04.2024
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, Christopher Lyons , attest that this application for The Village at Lake Mackintosh - Phase 1
(Signature Authority Name from Application Item I.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.
--�DlocuuSlyned by:
""'� Signature: 1 �bvus _ Date: 9/5/2024
FORM: FTA 10-23 Page 5 of 5

11-Ii-elY 16 "11,
State of North Carolina
Department of Environment and Natural Resources
.Ate ,z ou - Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE 10-23)
Entity Requesting Allocation City of Burlington -'
Project Name for which flow is being requested: The Village at Lake Mackintosh- Phase I
More than one FI:SE may be required jor a single project ij the owner of the WWI P is not responsible jor 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 #:
South Burlington WWTP
NC0023876 ✓
All flows are in MGD
c. WWTP facility's permitted flow 12.00
d. Estimated obligated flow not yet tributary to the WWTP 1.506664 '
e. WWTP facility's actual avg. flow 6.922000 -
f. Total flow for this specific request 0.031275
g. Total actual and obligated flows to the facility 8.459939
h. Percent of permitted flow used 70.50%,
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)
Design
Average
Pump
Daily
Station
Pump Firm Flow**
(Name or
Station Capacity, * (Firm/pf),
Number)
Permit No. GPD GPD
(B)
(C)
(D)—(B+C)
(E)=(A-D)
Approx.
Obligated,
Total
Current
Not Yet
Current
Avg. Daily
Tributary
Flow Plus
Available
Flow,
Daily
Obligated
Capacity**
GPD
Flow, GPD
Flow
ff
* 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 pumpstation 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 Clapacity 5 0.
Downstream Facility Name (Sewer) : /r
Downstream Permit Number:
Page 1 of 6 FTSE 10-23

III. Certification Statement:
I, David Bowman, P.E. CRM ' 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 asssessment 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
oigning uiiiccuc aignamre Date
Principal Engineer
Title of Signing Of, j`rcial
Page 2 of 6 FTSE 10-23

The National Map Advanced Viewer
9/3/2024, 5:03:27 PM 1:9,028
0 0.05 0.1 0.2 mi
0 0.1 0.2 0.4 km
USGS The National Map: National Boundaries Dataset, 3DEP Elevation
Program, Geographic Names Information System, National Hydrography

Owner Name: LEOTERRAGREESON DEVELOPMENT
LLC
110 A SHIELDS PARK DRIVE
KERNERSVILLE, NC 27284
GP I N: 8843660578
September 3, 2024
PID: 3-23-27
1:9,600
0 0.1 0.2 mi
Heavy
Industrial Development Applicants
l f 1
DI SC LA IM ER:
The datases and maps available are notsurvey grade or legal
APPLIED FOR PERMIT
document They are abes apprmimationofwhat'sonthe
g ro unq but do contain ar rors. The data comes from va n cus
sources nafona By* the state of Norh Carolina, and here in
AI am an ce Cou nV. AI am an ce County will not be held res po rsi N e
for pre m su se, misre pr se matio n, or mi si mar pre tatm n of th a datao
PERMITAPPROVED
aamef,oe County GIS ms aps. Thema psa nd data a re a a m ce provide d for th a benefit
fo rAJam an ce C o unty cit¢ ens. We con Ste my stri ve to improve the
quality and expand the am ou nt of data and maps available.
PERMIT RENEWED
ALAMAN CE COUNTV shall assume no Iiabiliy for any errors,
missions, o r in accur the inform
aci as n ation provid ad reg ar d ass oI
hvv ca used; or any decision made or action taken or not taken by
user in reliance upon any inbrmation of data furnished hereunder.
UNDER CONSTRUCTION
The user know ngy waives any and all claims for damages against
a ry m
and all ofthe entries coprsS ing the Alam ante County G
System that may arise from the mapping data. Da@: 9132024

Docusign Envelope ID: OOE889C3-27E5-431E-9627-97486138F91E4
STATE OF NORTH CAROLINA
COUNTY OF
Permit No.
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (dl) and entered into this day of
by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
LeoTerra Greeson Development, LLC
a corporation general partnership registered/licensed to do
business in the State of North Carolina, hereinafter known as the DEVELOPER.
WITNESSETH:
1. The DEVELOPER is the owner of the certain lands lying m Alamance
Y g � County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as The Village at Lake Mackintosh - Phase 1 (hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands.
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and operate the Disposal System.
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C or 47F of the North Carolina General Statutes.
5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the
Declaration, Village at Lake Mackintosh Home Owners Association (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the State
of North Carolina, for the purpose, among others, of handling the property, affairs and business of the
Development; of operating, maintaining, re -constructing and repairing the common elements of the lands
and improvements subject to unit ownership, including the Disposal System; and of collecting dues and
assessments to provide funds for such operation, maintenance, re -construction andrepair.
6. The COMMISSION desires to assure that the Disposal System of the Development is properly constructed,
maintained and operated in accordance with law and permit provisions in order to protect the quality of the
waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions andlaw.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Resources has inspected and approved of the facilities. In order to change the name
of the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The
request must include a copy of the Association Bylaws and Declaration.
3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility for
the operation and maintenance of its Disposal System until a permit has been reissued to the DEVELOPER's
successor.
FORM: DEV 12-23 Pagel of 2

Docusign Envelope ID: OOE889C3-27E5-431 E-9627-97486138F91 E4
4. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and
appurtenances thereto are part of the common elements and shall thereafter be properly maintained and
operated in conformity with law and the provisions of the permit for construction, operation, repair, and
maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater
treatment, collection and disposal system as a common element which will receive the highest priority for
expenditures by the Association except for Federal, State, and local taxes and insurance.
5. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will
be maintained out of the common expenses. In order to assure that there shall be funds readily available to
repair, maintain or construct the Disposal System, beyond the routine operation and maintenance expenses,
the Declaration and Association Bylaws shall provide that a fund be created out of the common expenses.
Such fund shall be separate from the routine maintenance funds allocated for the facility and shall be part
of the yearly budget.
6. In the event the common expense allocation and separate fund are not adequate for the construction, repair,
and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for special
assessments to cover such necessary costs. There shall be no limit on the amount of such assessments, and
the Declaration and Bylaws shall provide that such special assessments can be made as necessary at any
time.
7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit mayrequire as condition of accepting the Development's wastewater.
8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the continued
proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall provide in the
Association Bylaws that the Association shall not enter into voluntary dissolution without first having
transferred its said system and facilities to some person, corporation or other entity acceptable to and
approved by the COMMISSION by the issuance of apermit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Association.
IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized
representative of the parties hereto on the day and year written as indicated by each of the parties named below:
Michael Montebello
Supervisor, NPDES Branch Chief
Division of Water Resources
LeoTerra Greeson Development, LLC
Na g -gy. gLOPER
B : 64),Ot�,S
(Signature)
Christopher Lyons, Manager
Print Name and Title
9/5/2024
(Date) (Date)
FORM: DEV 12-23 Page 2 of 2

9/3/24, 5:12 PM
North Carolina Secretary of State Search Results
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form
Limited Liability Company
Legal Name
LeoTerra Greeson Development LLC
Information
Sosld: 2377860
Status: Current -Active O
Date Formed: 3/17/2022
Citizenship: Domestic
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Price, George
Addresses
Mailing
Principal Office
Reg Office
Reg Mailing
110-A Shields Park Dr
110-A Shields Park Dr
110-A Shields Park Dr
110-A Shields Park Dr
Kernersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Christopher Lyons
110-A Shields Park Rd
Kernersville NC 27284
https://www.sosnc.gov/onIine_services/search/Business_Registration_ResuIts 1/1

NC Design Solutions, Inc.
6701 Carmel Road
Suite 205
Charlotte, NC 28226
Phone: [phone]
NC PE Firm C-4245
Department of
September 23, 2024 Environmental Quality
Ref No. 4006.06 Received
Division of Water ResourcesSr
`P 2 5 2024
450 W. Hanes Mill Road Winston-Salem
Suite 300 Regional Office
Winston-Salem, North Carolina 27105
Re: The Village at Lake Mackintosh — Phase 1
Burlington, Alamance County, North Carolina
To whom it may concern:
Please accept the attached package for the above referenced project. This application is for The Village at
Lake Mackintosh — Phase 1. It will be comprised of 139 single-family attached units, with all projected to
be 3-bedroom units, hence generating a total flow of 31,275 GPD (225 gpd/unit). The project will consist
of approximately 2,267 LF 8" PVC, 916 LF 8" DIP and 15 manholes.
The attached sanitary sewer flow acceptance form by Mr. David Bowman, P.E., Principal Engineer of
City of Burlington, dated September 19, 2024 is dated less than one year prior to application date as
specified in the application under Section E.
This package includes the following:
A. One Original and One Copy of Application and Supporting Documents
B. Cover Letter
C. Application Fee of $600 (Check # 1110 attached)
D. Fast Track (Form: FTA 10-23)
E. Flow Tracking/Acceptance Form (FTSE 10-23)
F. Site Maps
J. Operational Agreements (Developer)
K. Per 15A NCAC 02T.0402, Aerial Sewer Plan and Details (Sheet U10 & Sheet U3)
If you have any questions or require any additional information, please do not hesitate to call.
Sincerely,
Robert L. Frost, P.E.
NC Design Solutions
[e-mail]