WQ0045832_Application (FTSE)_20240923

Memorandum PECEVQRCO)ISONC�AL
/DWR
S4
Date: September 3, 2024 �AOORESVI OFFICE
To: NCDEQ HECEIVED,/NCDEQ/DWR
Mooresville Regional Office
610 E. Center Ave. SEP 2 3 2024
Mooresville, NC 28115
WQ.ROS
From: Landworks Design Group, PA MOORESVILLE REGIONAL OFFICE
Steven S. Wilson, PE
Project: Chisolm Townhomes
Job #: 22093
Re: Chisolm Townhomes Private Sanitary Sewer
On behalf of The Chisolm Company LLC, we are submitting a Fast-Track Application (FTA 06-21) for
the construction of"Chisolm Townhomes" private sanitary sewer and related appurtenances. This
submittal contains two copies of the following documents:
• Project Narrative
• Completed application FTA 06-21
• HOA Operation Agreement Form HOA 12-23
• Completed & signed FTSE 10-18
• Flow Acceptance Letter
• Corporation Document for The Chisolm Company LLC
• Site Area Map
• Street Level Map
• $480.00 fee
Appropriate forms have been signed by the proper representatives.
We look forward to your favorable review and approval of the proposed construction. Should you have
any questions or if we could aid in your review, please feel free to contact me at 704.841.1604.
Regards,
Landworks Design Group, PA.

L�ECEIV DINE0
S '�WFt
Project Narrative �� r
Date: September 3, 2024 MOORESVILLE RE ZONAL OFFICE
RECEIVEI/NCDEO/pWR
To: NCDEQ SEP 2 3 2024
From: Landworks Design Group, PA VvaR0S
Steven S. Wilson, PE
g p' MOORES iLLE REGIONAL OFFICE
Project: Chisolm Townhomes
Job#: 22093
Re: Chisolm Townhon
The proposed Chi lit subdivision with both private
gravity sewer and
This project will cc 0 � N vate gravity sewer and related
appurtenances, wl iin the project area. The private
pump station will F main, which will ultimately
connect to an 8" p roject area.
The estimated sev sed on the following calculations;
70 units @ 190 gallons per day per unit = 13,300 gallons per day.
Regards
Landworks Design Group, P.A.
Steven S. Wilson, PE

Is
Charlotte,NC 28208
Project Narrative
Date: September 3, 2024
To: NCDEQ
From: Landworks Design Group, PA
Steven S. Wilson, PE
Project: Chisolm Townhomes
Job#: 22093
Re: Chisolm Townhomes Sanitary Sewer Narrative
The proposed Chisolm Townhomes will be a 70-townhome unit subdivision with both private
gravity sewer and ' -
This project will cc ate gravity sewer and related
appurtenances, w n the project area. The private
pump station will I lain, which will ultimately
connect to an 8" F �?4 ject area.
The estimated se) sd on the following calculations;
70 units @ 190 gc ay.
Regards
Landworks Design Group, r ....
Steven S. Wilson, PE

Division of Water Resources FTA 06-21 &SUPPORTING DOCUMENTATION
Application Number:j �5� in
be completed by DWR) HECEIVED/NCDEQ/DWR
All items must be completed or the application will be returned S EP 2 3
2024
I. APPLICANT INFORMATION:
WQ.POS
1. Applicant's name: The Chisolm Company LLC(company,municipality,HOA,utility, etc.) MOORESVILLE REGIONAL OFFICE
2. Applicant type: ❑ Individual ®Corporation ❑General Partnership ❑ Privately-Owned Public Utility
❑ Federal ❑State/County ❑Municipal ❑ Other
3. Signature authority's name: Leon Chisolm per 15A NCAC 02T.0106(b)
Title:Manager
4. Applicant's mailing address: 1916 Galloway Road
City:Charlotte State:NC Zip:28262-
5. Applicant's contact information:
Phone number:[phone] Email Address: leon.chisolm(DP-mail.com
II. PROJECT INFORMATION:
1. Project name: Chisolm Townhomes
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: Mecklenburg
4. Approximate Coordinates(Decimal Degrees): Latitude: 35.347097' Longitude:-80.758283'
5. Parcel ID(if applicable): 02968113 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Steven S. Wilson License Number: 15497
Firm: Landworks Design Group. PA
Mailing address: 1230 West Morehead Street,Suite 304
City:Charlotte State:NC Zip:28208-
Phone number:[phone] Email Address: swilson(iNandworkspa.com
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:Mallard Creek WWTP Permit Number:NCO030210
Owner Name:Charlotte Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION:

r AJ I I KAl 11 JL W GK J I J l G1VI G111 G1�IJ1V1 HrrL1l H i 1V1�
Division of Water Resources FTA 06-21 &SUPPORTING DO MENTATION
RECEIVE NCD /DWR
Application Number: (to be completed by DWR)
EP - 2024
All items must be completed or the application will be returned
I. APPLICANT INFORMATION: OR S
MOORESV ERE IONAL OFFICE
l. Applicant's name: The Chisolm Company 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: Leon Chisolm per 15A NCAC 02T.0106(b)
Title: Manager
4. Applic nt's mailing address: 1916 Galloway Road
ity:Charlo tate.NC ip:28262-
Applicant's contact information:
Ph number:�)_- :Email A ress: leon.chisolm(ci)email.com
II. PROJECTINFO TION:
1. Project name: Chisolm
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: Mecklenburg
4. Approximate Coordinates(Decimal Degrees): Latitude: 35.347097' Longitude:-80.758283'
5. Parcel ID(if applicable): 02968113 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Steven S. Wilson License Number: 15497
Firm: Landworks Design Group,PA
Mailing address: 1230 West Morehead Street,Suite 304
City:Charlotte State:NC Zip:28208-
Phone number: 704)841-1604 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name: Mallard Creek W WTP Permit Number:NCO030210
Owner Name: Charlotte Water
V RR! FIViNl: Il(IWIVCTRFAM CFWFR iNRl1RMATIlIIV•

❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold,has a Developer's Operational A-,reement(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.0I 15(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. Has a flow reduction been approved under 15A NCAC 02T.0114(fl? ❑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 a.b No.of Units Flow
Residential Townhomes 190 gal/unit/day 70 13,300 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 13,300 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.0114] shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 13,300 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:

Size(inches) Length(feet) Material
8 1,473 PVC
➢ 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(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: 1
2. Approximate Coordinates(Decimal Degrees): Latitude:35.347669' Longitude:-80.757881'
3. Total number of pumps at the pump station:2
3. Design flow of the pump station: 0.0133 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): 27 gallons per minute(GPM)at 36.9 feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length(feet) Material
2 360 PVC
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

15A NCAC 02T.0305 contains minimum separations 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(g)contains alternatives where separations in 02T.0305(fl cannot be achieved. Please check"yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webi2age
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 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(c)(6)(additional permits/certifications)? ® Yes ❑No
Per 15A NCAC 02T.0 I 05(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,

and Force Mains(latest version),ana me vravu.v Jowci IVII���IIIUIII IJwIL11.III. .....+..� +• _-rr
®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 longer
review times For projects requiring two or more variances or where the variance is determined by the Division to be a
si2nificant portion of the project the full technical review is required.
2. Professional Engineer's Certification:
[ S 1 t vCN S. W 1 L VON ,attest that this application for C H I S•L/4 1bWN111 80-Ff
(Professional Engineer's name from Application Item Ill.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 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 NCQC.5610,701.)
North Carolina Professional Engineers seal,signature,and date: �:•��
437
1 will,
E............................................................................./...........
3. Applicant's Certification per 15A NCAC 02T .0106(b): �t A
I L,C Oh GL 0 ft,A ,attest that this application for CN I S VLM 10yA1#1#0 L_5
(Signature Authority Name from Application Item I.3.) (Project Name from Application Item 11.1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non-discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties,injunctive relief,and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
..,a,. . h.n hP ollil v of a C'incc 2 misdemeanor. which may

wvi.a a va
HOME/PROPERTY OWNERS' OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (d1) 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
Chisolm Townhomes , a non-profit corporation organized
and existing under and by virtue of the laws of the State of North Carolina, hereinafter known as the
ASSOCIATION.
WITNESSETH:
1. The ASSOCIATION was formed for the purpose, among others, of handling the property, affairs and
business of the development known as Chisolm Townhomes
(hereinafter the Development); of operating, maintaining, re-constructing and repairing the common
elements of the lands and improvements subject to unit ownership, including the wastewater collection
system with pumps, wastewater treatment works, and/or disposal facilities (hereinafter Disposal System);
and of collecting dues and assessment to provide funds for such operation,maintenance,re-construction and
repair.
2. The ASSOCIATION desires, to construct and/or operate a Disposal System to provide sanitary sewage
disposal to serve the Development on said lands.
3. The ASSOCIATION has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and/or operate the Disposal System.
4. The Development was created subject to unit ownership in the dwellings units, other improvements and
lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter47C
or 47F of the North Carolina General Statutes.
5. The COMMISSION desires to assure that the Disposal System of the Development is properly constructed,
maintained and operated in accordance with law and permit provisions in order to protect the quality of the
waters of the State and the public interest therein.
NOW,THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties hereto,
the COMMISSION and ASSOCIATION do hereby mutually agree as follows:
1. The ASSOCIATION shall construct the Disposal System and/or make any additions or modifications to the
Disposal System in accordance with the permit and plans and specifications hereafter issued and approved
by the COMMISSION, and shall thereafter properly operate and maintain such systems and facilities in
accordance with applicable permit provisions and law.
2 The ASSOCIATION 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
nnengted in conformity with law and the provisions of the permit for construction, operation, repair, and

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 fund allocated for the facility and shall be part of
the yearly budget.
4. In the event the common expense allocation and separate fund(s) 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 be provided such that special assessments can be made
as necessary at anytime.
5. 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 ASSOCIATION 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.
6. 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 ASSOCIATION 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 bythe issuance of a permit.
7. The ASSOCIATION 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
ASSOCIATION'S successor.
8. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, and 7 above shall be conditions of any
permit issued by the COMMISSION to the ASSOCIATION for the construction, maintenance, repair and
operation of the Disposal System.
9. 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:
Chisolm Townhomes
Name of ASSOCIATION
By
Michael Montebello
Supervisor, NPDES Branch Chief (Signature)
Division of Water Resources
n_:_.rr,...., --A 'r:*lo

W4)TER
July 18, 2024
Mrs. Kristin Murchison
Landworks Design Group
1230 West Morehead Street
Suite 304
Charlotte, NC 28208
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
MALLARD CREEK TOWNHOMES
11108 MALLARD CREEK ROAD, CHARLOTTE, NC 28262
CLTWATER TRACKING#20243814
After an analysis of the sanitary sewer associated with the proposed design of project, 20243814,
MALLARD CREEK TOWNHOMES, it was determined that there is sufficient capacity to
accommodate the proposed sewer flow of 13,300 gallons per day(70 units x 190 gpd/unit)at the
connection point(s) indicated on the submitted utility plan for transmission to the Mallard Creek
Wastewater Treatment Plant, NPDES permit number NCO030210, for treatment. This acceptance of
flow is based upon the existing capacity of the designated publicly owned treatments works.
Please find NCDEQ FTSE State document attached.
Charlotte Water(CLTWater)agrees to furnish water to the subject project. The water quality to the
subject project is regulated by the State Drinking Water Act Amendments of 1986 and The Water
Supply Management Plan, PWS ID#0160010 on file with the Public Water Supply Section of
NCDEQ. However, CLTWater cannot guarantee a constant pressure or quality of flow.
The applicant should understand that due to the involvement of other agencies and continuing
growth of the water system, the ability to provide service for future projects cannot be guaranteed
nor reserved. Connection to the CLTWater system is accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct or extend private
water or sewer systems, as the appropriate local or State permits are required prior to construction.
If the appropriate authorization to construct permits are not obtained construction has not started
within two (2) years of issuance of this flow acceptance and payment for any service connections
have not been received within two (2) years of issuance of this flow acceptance letter, this flow
acceptance approval shall be rescinded and a new flow acceptance request must be made.
The CAP analysis performed determines available capacity within the existing public gravity sewer
system. The developer is responsible for any additional private or public sewer infrastructure
required to convey flow from the proposed development to the existing public gravity sewer.
If you have any questions, please do not hesitate to contact me at(704)432-5801.
Sincerely,
6 u i�m.o-AvwzAa,
Guillermo Anzola / Engineering Assistant
CHARLOTTE WATER

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting allocation: Landworks Design Group
Project Name for which flow is being requested: Mallard Creek Townhomes
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: Mallard Creek WWTP
b. WWTP Facility Permit#: NCO030210
All flows are in MGD
c. WWTP facility's permitted flow 13.100
d. Estimated obligated flow not yet tributary to the WWTP 2.126
e. WWTP facility's actual avg. flow 10.425
f. Total flow for this specific request 0.0133
g. Total actual and obligated flows to the facility 12.564
h. Percent of permitted flow used 95.9%
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***
N/A
*The Firm Capacity(design flow)of any pump station is defined as the maximum pumped flow that can be
achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor(pf)not
less than 2.5,per Section 2.02(A)(4)(c)of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located between the
—_A aU—R!\x/TD

III. Certification Statement:
I Keri Cantrell 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.
Digitally signed by Keri Cantrell
Date: 2024.07.18 13:13:05-04'00' 7/18/2024
Adobe Acrobat version: 2024.002.20759
Signing Official Signature Date
Chief Engineer
Title of Signing Official

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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
The Chisolm Company LLC
Information
Sosld: 2369387
Status: Current-Active O
Date Formed: 3/4/2022
Citizenship: Domestic
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: United States Corporation Agents, Inc.
Addresses
Mailing Principal Office Reg Office
1603 Lionstone Dr 1603 Lionstone Dr 6135 Park South Drive Ste 510
Charlotte, NC 28262 Charlotte, NC 28262 Charlotte, NC 28210
Reg Mailing
6135 Park South Drive Ste 510
Charlotte, NC 28210
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Founder Founder
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