WQ0045866_Harvey_Preserve_FTSSE_App_20241024_20241024

neiJ?,Rient of
Environnientil Quality
Received
OCT 2 4 2024 State of North Carolina
Winston-Salem Department i ion of nmer al Resources
Division of Water Resources
DWR Regional Office FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
Application Number: WQ0 D 45''Vb4 (to be romplaLd by DwR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
L Applicant's name: Apple REI Fund LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name: Alan Polin'per 15A NCAC 02T .0106(b)
Title: Manaaeiing Member
4. Applicant's mailing address: 200 Pinnacle Ridge Road
City: Beach Mountain' State: NC Zip: 286(i'4
5. Applicant's contact information:
Phone number: (2N4) 650-6727 Email Address: aht4olinAhoolinlaw.com
IL PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
I. Project name: Harvey Preserve
2. ApplicaliptrlProject status: ®Proposed (New Permit) ❑Existing Permit/Project ❑ ARPA funded
If a modification, provide the existing permit number: W000_ 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. W000_
3. County where project is located: Guilford
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.96353` Longitude:-79,93796'
S. Parcel ID (if applicable): 161060 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
Professional Engineer: Randy L. McNeill Lease Number: 10117
Firm: Davis Martin Powell and Associates
Mailing address: 6415 Old Plank Rd
i
City: High Point State: NC Zip: 27265-_ ,
i
Phone number: [phone] Email Address: rmcneillCiudmir-inc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
i
L Facility Name: Eastside WWTP' Permit Number: NCO024210
Owner Name: City of High Point
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. PermitNumber(s): WQ NOT KNOWN '
i
2. Downstream (Receiving) Sewer information: $ inch ® Grav .7 Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS500010
Owner Name(s): CITY OF HIGH POINT '
FORM: FTA 10-23 4l/ Page I of 5

VC De[ ir•mrn'i o'i
Environmental Quality
Received
Vl. GENERAL REQUIREMENTS OCT 2 4 2024
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate o ic[(36mrehlniat and Necessity been attached?
❑Yes ❑No ZIRW1011CI'6! '
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEVI been attached?
N Yes ❑ No ❑ N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA,'POA Opgrationai Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes N 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)
i
5. Nature of wastewater : 100 % Domestic _% Commercial % Industrial (Scc 15A NCAC 02T .0103(201)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes N Nn
➢ 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
No. of Units
Flow
3 Bedroom Homes
360 gal/day
45
16200 GPD
4 Bedroom Homes
480 gal/day
44
21120 PD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Taal
37320 GPD
a See 15A NCAC 02T .01 I4Sb}, (dlijrl( I.1 and L -1 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 .01 14(c), design flow rates for establishments not identified [in table 15,A NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 37320"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 bent allocated in Permit Number: issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 10-23 4 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T ,0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 5182 •'- PVC (SDR26)
NC DI-partr-)rn( of
Environman(al Quality
Received
OCT 2 4 2024
Winston Salem
Section 11 & 111 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
VIU. PUMP STATION DESIGN CRITERIA (if Applicable) - 02T ,0305 & MDC (Pump Stations i orce Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
L 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)
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 2.01 C.I.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .03Q51h)(1 j:
❑ 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 timeframcs, shall be provided
as part of this permit application in the case of a multiple station power outage. FORM: FTA 10-23 /�.a��I � Page 3 of 5

LF, itii,1,.
R.CcziveJ
OCT 2 4 2024
IX. SETBACKS & SEPARATIONS — 102B .0200 & ISA NCAC 02T .0305(f)): m
1. Does the project comply with all separations/altematives found in 15A NCAC 02T .0305(t) & (u)' Yqs,.❑ No
15A NCAC 02T.0305 t 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-1 waters of Class I or
Class li impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW. HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (gee 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
IO feet
Final earth grade (vertical)
36 inches
If noncompliance with 02T.0305(t) or (a). see Section X.I of this application
* I5A NCAC 02T.0305(el 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 Classitication;5_x eb a e
2. Does this project comply with the minimum separation requirements for water mains? ® 4es ❑ No ❑ N/A
> If no, please refer to ISA NCAC 18C.0906(t) for documentation requirements and submit a separate document,
signed/seated by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? 0 Yes ❑ No ❑ N/A
> Please provide supplementary information identifying the areas of non-conformance.
See the Division's draft seuaration reouiremmn(s 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? ®''es Basin time: Cape Fear ❑lNo
If yes, does the project comply with setbacks found in the river basin rules per t 5A NCAC 020 .0200? ® Yes []No
> This includes Trout Buffered Streams per 15A, NCAC"21i.020'-
5. Does the project require coverage/authorization under a 404 Na[ionwidelindividttal permits ® 'Yes ❑ No
or 401 Water Quality Certifications'?
> Please provide the permit number/permitting status in the cover letter if coverageiauthorization is required.
6. Does project comply with 15A NCAC L)L- q 105 c ib) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(ci(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.). 1
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes 14 No
Per ISA 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

Envlrwi
X.
OCT 2 4 2LI24
Winston .I_r
L Does the submitted system comply with 1 SA NCAC 02T, the Minimum De'bt+jt i4iiteria'foE 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/Alternalive Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the reauest will be issued
Professional Engineer's Certification: ///
1,,��9iG.+. t t���attest that this application for+<'74'gya T 2 �.+ V
(Professional Enginis is name from Application Item ITT I.) (Project Nanh Item Application Item II.I )
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 Cri(cria 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 1 have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — to 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. 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 boa
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1�DL!!V , attest that this application for Nst RVEY PRI:.'ERYE
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item IT, 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 w 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.
Signature: Cam+G�'L+��—�"_- - Date: iQj� I Zy
FORM: FTA 10-23 Page 5 of 5

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 10-23 & SUPPORTING DOCUMENTATION
II II ��tt G_tt^^„ ^"*mant of
Application Number: 1 066 `f J 1(P (r (to be wmpieted by Dw2) Ern., . !'J i ty
All items must be completed or the application will be returned
_.: 'L [ 2024
I. APPLICANT INFORMATION:
1. Applicant's name: APPLE REI FUND LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name: Alan Poinn per 15A NCAC 02T .0106(b)
Title: Managing Member{ i
4. Applicant's mailing address: 200 Pinnacle Ridge Road
i
City: Beech Mountain State: NC Zip: 28604-_
5. Applicant's contact informations
Phone number: [phone] Email Address: [e-mail]
H. PROJECT INFORMATION:
1. Project name: Harvey Preserve
Winston-Salem
Regional Office
❑ Privately -Owned Public Utility
❑ Other qZ S,,, L W*4567
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ 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 plgn, provide the existing permit number: W000_
3. County where project is located: Guilford 1 J
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.963536" Longitude:-79.93796°
5. Parcel ID (if applicable): 161060 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION: 11
I. Professional Engineer: Randy McNeill License Number: 101 17
Firm: Davis. Martin. Powell
Mailing address: 6415 Old Plank Road
E
City: High Point State: NC / Zip: 2 7z65-�
Phone number: R6J 886-4821 Email Address: rmcneillna,dmp-inc.com
IV. WASTEWATER TREATMENT FACI��LIT��TFI INFORMATION:,.
m 1. FacilityNae:e--,ftT6i3Ov Ifg(, tNumLbeLr: IJePm2421d
P K ��,�►n+
Owner Name: City of High Dint /l-
y�n
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ C S O s® 1 a>8mc
r� /
2. Downstream (Receiving) Sewer Information: LvJGravity ❑ Force Main
3. System Wide Collection System Permit Numblicable . QCS
OwnerName(s): AL57 01K A/Afly �+
FORM: FTA 10-23
Page I of 5

VI. GENERAL REQUIREMENTS
I. 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: DEVV) 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.0 115(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 Progrr in effect? ❑ Yes❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes R 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 qb
No. of Unip
Flo*
Residential Homes
240 gal/Day
89
21,360 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
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 available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 213604KGPD (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

VIl. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8"
5,182
PVC (SDR 6)
➢ 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 (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: N/A
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)
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. Lb. ❑ 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 timefmmes, 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(t)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T.0305(f) & (g)?
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
N Yes ❑ No
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 H 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(f) or (g), see Section X.1 of this application
*15A 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 webpage
2. Does this project comply with the minimum separation requirements for water mains? N Yes [—]No [:]N/A
➢ If no, please refer to 15A NCAC I8C.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? N 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 met.
➢ No variance is required if the alternative design criteria specified is utilized in design d constructio
i Ogkdal��
4. Is the project located in a river basin subject to any State buffer rules? N Yes Basin name: ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B . 00? 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 N Yes ❑ No
or 401 Water Quality Certifications? 0
➢ 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)? N Yes ❑ No
Per 15A NCAC 02T.0I05(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 N 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

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
2. Professional Engineer's Certification:
I Randy McNeill attest that this application for Harvey Preserve
(Professional Engineer's name from Application Item III.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 143-215.6B, 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. 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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I Alan Polin , attest that this application for Harvey Preserve AV
(Signature Authority Name from Application Item I.3.) (Project Name ftom 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 retained 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.
p � u
Signature: L I MAI V RW IAA Date: (J /1/27
FORM: FTA 10-23 Page 5 of 5

State of North Carolina
DWRn
Division of Water Resources
Entity Requesting Allocation HWovaNC '
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(ME 10-23)
Project Name for which flow is being requested: Harvey Preserve
Mare than one FTSE may be r e9uired for a single project if the owner of the WW7P is not responsihlefor all punnp stations along the
route of the proposed wastewater flow
1. Con-plete this section only dyou are the owner of the wastewater treatment plant
a. W M Facility name: Eastside WWFP
b. W WTP Facility Perms #: NC0024210
All flows are in MGD
c. WWTP facilitys Perrtted lbw 26
d. Estirmted obligated flow not yet tributary to the W WTP 4.4261
e. WWTP facilitys actual average flow
14.92
f Total flow for this specific request
0.0214 '
g Total actual and obligated flows to the facility
19.3675
h. Percent of permitted flow used
74.49%
IL Cotr>picte this section for each pimp station your are responsible for along the mute of this proposed wastewater flow
List pump station located between the project connection point and the W WTP
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
1'urtp
Pump
Design
Approx
Obligated
Total Current
Station
Station
Firm Average Daily
Current
Not Yet
FlowPs
Available
Capacity, * Fbw**
Avg Daily
Tributary
Obligated
Capacity***
(Naar or
Pew
MGD (F rmrpt)
Flow
Daily Flow
Flow
MGD
N tuber)
Riverdale
No.
WO0008572
MGD
30,0887 11,4842
MGD
8,3901
MGD
2,499
MGD
10,8899
0.5943
* The Firm Capacity of any pump station is defined as the n axirnmu pumped flow that can be
achieved with the largest pump taken out of service.
** Design Average Daily Flow is the farm capacity of the pump station divided by a peaking factor (pt)
not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendmn shall be attached for each pump station located betieen the
project connection point and the WWFP where the Available Capacity is < 0.
DowmtreamFac&yName(Sewer): EaslsldeWWIP
DownstreamPemit Number (Sewer): NC0024210
Page 1 of 8

M. Certification Statement
I, Derrick Boone, certify to the best of my knowledge that die addition of the whore of
wastewater to be permitted in this project has been evahrated along the route to the receiving wastewater
acatnent 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 circtarstances, given the inplemenntation of the planted improwmentts 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 phis all attached planning assessment addenduns for which I am the
responsible party. Sigtrature of this flnnn indicates acceptance of this wastewater Bow.
a
Title of signing Official
ZG 2Y
Date
Page 2 of 8

Date: September 30, 2024
To
DAviS • MARTIN • POWELL ENGINEERS & SURVEYORSdm P
TRANSMITTAL
North Carolina Department of Environmental
Quality
Winston Salem Regional Office — Water
Quality Section
450. W Hanes Mill Rd Suite 300
Winston-Salem, NC 27105
We are sending you attached the following items:
Re
NC Department c
Enviro ReceiveQua
OCT 0 2 1­
Winston-'
220050 1
Harvey Preserve Subdivision
DMP Job No. 220050
❑
Shop Drawings
❑
Samples
❑
Copy of Letter
❑
Prints
❑
Specifications
®
Other
❑
Plans
❑
Disk
❑
Change Order
# Copies
Drawing #
Description
Disposition
1
Original From FTA 10-23 (89 Single Family Homes)
For Review
1
Copy of Form FA 10-23
1
Signed Developers Operational Agreement
1
Review Fee of $600
1
Documentation of Business Entity with the North
Carolina Secretary of State
1
8.5" x 11" USGS Map of the project Area
1
FEMA Flood Panel Showing the extent of the proposed
site
1
Flow acceptance letter from the City of High Point
1
USE 10-23 Form from the City of High Point
Remarks:
Un
c: File
T: 336-886-4821 • F: 336-886-4458 • License: F-0245
6415 Old Plank Road, High Point, NC 27265 • www.dmp-inc.com

PUBLIC SERVICES
Derrick Boone
Assistant Public Services Director
September 26, 2024
NCDENR
Winston-Salem Regional Office
450 W. Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Project:
Harvey Preserve
C IT Y OF
high
point
Applicant: Apple REI Fund, LLC
Dear Sir or Madam:
This is to acknowledge that the City of High Point will accept for treatment in the
Eastside Wastewater Treatment Plant (Permit #NC0024210), wasterwater flow from the
above referenced project in the amount of 0.0214 MGD, which will be discharged to
facilities operated and maintained by the City of High Point.
If further information is needed, please let me know.
Sincerely,
Derrick Q Boone
Assistant Public Services Director
DQB/tab
f� 211 South Hamilton St. High Point, NC 27260
336.883.3111 HighPointNC.gov

• 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
Apple REI Fund, LLC
Information
Sosld: 2477801
Status: Current -Active
Date Formed: 8/29/2022
Citizenship: Foreign
State of Incorporation: FL
Annual Report Due Date: April 15th
Currentgnnual. Report Status:
Registered Agent: Polin, Alan J
Addresses
Reg Office ' .
c/o Polin 200 Pinnacle Ridge Road
Beech Mountain, NC 28604
Mailing
c/o Polin 7105 Camp Side Court
Raleigh, NC 27613
Company Officials
Reg Mailing
c/o Polin 200 Pinnacle Ridge Road
Beech Mountain, NC 28604
Principal Office
c/o Polin 7105 Camp Side Court
Raleigh, NC 27613
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3 20.

Managing Member Senior Vice President
Alan Jay Polin Jay Michael Polin
c/o Polin 200 Pinnacle Ridge Road 7105 Camp Side Court
Beech Mountain NC- 28604 Raleigh NC 27613
e
Member -
Sharon Lynn Polin
c/o Polin 200 Pinnacle Ridge Road
Beech Mountain NC 28604

STATE OF NORTH CAROLINA
COUNTY OF Guilford
'wvinlo : `-
�:,r,„�! L' PermitNo.
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (dl) and entered into this 10 th day of
October 2024 , by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
Apple REI Fund LLC , a corporation/general partnership registered/]icensed 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 in Guilford County, upon
which it is erecting and will erect dwelling units and other improvements, said development to beknown
as Harvey Preserve (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, Harvey Preserve HOA (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 andDeclaration.
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'/ Page 1 of 2

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 maigqttwncd and
operated in conformity with law and the provisions of the permit for construction, operation,►}cpair, and l
maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire Fastewater
treatment, collection and disposal system as a common element which will receive the highes��riorcity ity,for,
expenditures by the Association except for Federal, State, and local taxes and insurance. ri1
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 yearlybudget.
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:
Apple REI Fund LLC
NameofDEVELOPER
By:
Michael Montebello (Signature)
Supervisor, NPDES Branch Chief
Division of Water Resources LIEN
J. Polln, Manager/Member
Print Name and Title
(Date)
October 10, 2024
(Date)
FORM: DEV 12-23 Page 2 of 2

STATE OF NORTH CAROLINA
COUNTY OF i Permit No.
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (d1) and entered into this 19th day of
April , by and between the North, Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
PIE FERIFEWDLIZC , 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 in Gail - County, upon
which it is erecting and will erect _dwelling units and other improvements, said development to beknown
as HaB;= kr rreyeRrle serve (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 Decl'aration), 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, Harve_,iai user diQAHOA (hereinafter
Association), a non-profit corporation organizedand 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 comirion elemenfs 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:
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 andDeclaration.
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.
14

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:
FOR THE ENVIRONMENTAL
MANAGEMENT COMMISSION
Richard E. Rogers, Jr.
Director, Division of Water Resources
(Date)
APPLE REX FUND LLC
NameofDEVELOPER
By:
(Signature)
ALAN J PDLIA(. /rMANAGER IMEmBER
Print Name and Title
081/.2120211
(Date)
FORM: DEV 03-19 Page 2 of 2

t
x
i r�xfWllV
,y V
1ciLJ a
,l
p _
q
a'
J
-.ar i» _ • � Nam}.. LM�
uses ul.,
R.W., YI.
Iapew.
��
:�; — — XIGN PoIMFASi. MC 5m

FLOOD HAZARD INFORMATION
6WYMFI�II�OIOr�YW
KKMNCIFUMIIX9MMIXYSLf10111M
OOPMFMaMW /FAMK W/ffl/ILLNWtlY
4RP!/FflIS.NC.4W/iP6
Ar WM1I/WW}G
.RM
-uw�u.en.e.x.sa..we
Lim M.p4.M
py.l9f T1NMFYSOYri�
aamnuu' r..,,
�:_Mpu�m�nNub4YWM a
�. pr.lcm.envLw Lw
� 1�e<ar.iosu'M1Im.4flY
Ir..Pou,wi�W...
X�p[pfYa Fetitn
wy ur.rwq
NOTES TO USERS
—cur a.u.r W ww auvmi� -• _•-••
SCALE
IItl.YBMt ^� m•-••. I6.Cm
N
PANEL LOCATOR
A
Noanipcutouru �
W�
d
(�
U
C
6�
N lzi
0
C
V
2f
Z
>as e1aaoa'