HomeMy WebLinkAboutWQ0045492_Owner (Name Change)_20241114 State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE
Division of Water Resources INSTRUCTIONS FOR FORM:PNOCF 01-16
This form is for ownership changes or name changes of a sewer system permit. Please note that"Permittee"references the
existing permit holder,and that"Applicant"references the entity applying for the ownership/name change.
Sewer permits start with a WQ or WQCS and contain the terms sewer extension or collection system in the subject field. This
form should not be used for permits with NC,NCG,SW or other types of non-sewer permits beginning with WQ.
For more information, visit the Division's Water Quality Permitting's website:
A. Sewer System Permit Ownership/Name Change(FORM:PNOCF 01-16)Application(All Applications):
® Submit an original completed and appropriately executed application(PNOCF 01-16).
® The Existing Permittee's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T
.0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who
meets the criteria in 15A NCAC 02T.0106(b).
® The Applicant's Certification shall be signed in accordance with 15A NCAC 02T.0106(b). Per 15A NCAC 02T.0106(c),an
alternate person may be designated as the signing official if a delegation letter is provided from a pR¢ CErIVEDriteria
in 15A NCAC 02T.0106(b). ��-««
B. Existing Permit(All Applications): NOV1 3 2�24
® Submit a copy of the most recently issued permit and certification.
C. Property Ownership Documentation(All Applications):
➢ The Applicant shall demonstrate they are the owner of all property containing the sewer systAKID /DWR/NPDES
❑ Legal documentation of ownership(i.e.,GIS,deed,article of incorporation,or contract),or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map,or
❑ Approved board minutes
D. Certificate of Public Convenience and Necessity(All Applications where the Applicant is a Privately-Owned Public Utility):
0 Per 15A NCAC 02T .0115(a)(1), provide one copy of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non-discharge system.
E. Operational Agreements(Applications where the Applicant is a Home/Property Owners'Association or Developer of lots to be
sold):
> Home/Property Owners'Associations
❑ Per 15A NCAC 02T.0115(c),submit an original properly executed Operational Agreement(FORM:HOA).
❑ Per 15A NCAC 02T .0115(c),submit an original proposed or approved Articles of Incorporation,Declarations and By-
laws that contain the language required by the Operational Agreement.
> Developers of lots to be sold
® Per 15A NCAC 02T.0115(b),submit an original of the properly executed Operational Agreement(FORM:DEV).
F. Package Submitted in Duplicate
® Submit a copy of all required documents in Instructions A-E as required
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED IN DUPLICATE
TO:
NCDEQ-DWR
Water Quality Permitting Section
PERCS Unit
By U.S.Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 N.SALISBURY ST.
RALEIGH,NORTH CAROLINA 27699-1636 SUITE 925
RALEIGH,NORTH CAROLINA 27604
TELEPHONE NUMBER: (919)807-6300
INSTRUCTIONS FOR APPLICATION PNOCF 01-16 Page 1 of 1
State of North Carolina
Department of Environmental Quality
DWRDivision of Water Resources
SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE
INSTRUCTIONS FOR FORM: PNOCF 01-16
Division of Water Resources
I. EXISTING PERMITTEE INFORMATION:
1. Permittee's name:Canvas Residential `,
2. Signature authority's name:Creighton Call per 15A NCAC 02T.0106(b) RECEIVED
ED
3. Signature authority's title:Manager NOV 13 2024
4. Permittee's mailing address: 111 Metropolitan Avenue
City:Charlotte State:NC Zip:28204- NCDEQ/DWR/NPDES
5. Permittee's contact information: Phone number:(704)607-7278 Fax Number( )_-
Email Address:ccall@canvasresi.com
II. APPLICANT INFORMATION:
1. Applicant's name:Pulte Group
2. Signature authority's name:Dan Rossi per 15A NCAC 02T.0106(b)
3. Signature authority's title:Vice President of Land Plannning and Development
4. Applicant's mailing address: 11121 Carmel Commons Blvd,Suite 450
City:Charlotte State:NC Zip:28226-
5. Applicant's contact information: Phone number:(704)212-6291 Fax Number( )_-
Email Address:dan.rossi@Dultegroup.com
6. Representative's name: Faisal Karshe
7. Representative's title: Civil Designer
8. Representative's contact information Phone number:(704)351-7751 Fax Number( ) -
Email Address: faisal.karsheAlandworkspa.com
III. PERMIT INFORMATION:
1. Existing permit number:W00045492 and most recent issuance date:July 12,2024
2. Reason for the permit application: Select If other, attach detailed explanation
3. Has the facility been constructed? ❑Yes or®No
4. Has the facility been certified per 15A NCAC 02T.0116? ®Yes or❑No
FORM:PNOCF 01-16 Page 1 of 2
w .
IV. CERTIFICATIONS:
Existing Permittee's Certification per 15A NCAC 02T.0106(b):
I, L — 1- N, C�+✓i� attest that this application
(Signature Authority's name&title from Application Item I.2&3)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit
into the Applicant's name, I will continue to be responsible for compliance with the current permit and any discharge of wastewater
from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will also make no claim against the Division of Water Resources should a condition of the existing permit
be violated. I also understand that if all required parts of this application are note completed and that if all required supporting
information and attachments are not included,this application will be returned to me as incomplete.
NOTE —In accordance with General Statutes 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 w s ci '1 penalties up 25,000 per violation.
Signature: Date: L O 125b2i(
Applicant's Certification per 15A NCAC 02T.0106(b):
I, ot....t ass z —\ attest that this application
(Signature Authority's name&title from Application Item II.2&3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after issuance of the permit into
the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non-
discharge system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated.
I also understand that if all required parts of this application package are not completed and that if all required supporting information
and attachments are not included,this application package will be returned to me as incomplete.
NOTE — In 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 '1 penalties up to$25,000 per violation.
Signatur : Date: 1 C/cis 1,?L{
FORM:PNOCF 01-16 Page 2 of 2
1 i
STATE OF NORTH CAROLINA
COUNTY OF Permit No.
DEVELOPER'S OPERATIONAL AGREEMENT �y
This AGREEMENT made pursuant to G.S. 143-215.1 (dl) and entered into this 24 day of
0es-kobe r , by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
WAS. w►T.�'K. , 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 I •M te nbvCS County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as C,‘ e QU nbo.\OW (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, W5-r r a D Me at-kOr t (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 03-19 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 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 Cmucks ?le S 1 do 410.1
MANAGEMENT COMMISSION Name of DEVELOPER
By:
S. Daniel Smith (Signatur
Director, Division of Water Resources CRerntoet'7a.",
Print Name and Title
(°bY 202e"
(Date) (Date)
FORM: DEV 03-19 Page 2 of 2
ROY COOPER � _
Governor
ELIZABETH S.BISER
Secretary
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
July 12, 2024
Mr. Creighton Call, Manager
Canvas Residential, LLC
1111 Metropolitan Avenue. Suite 700
Charlotte, NC 28204
Subject: Permit No. WQ0045492
Canvas Residential, LLC
Clyde Bungalows
Wastewater Collection System Extension Permit
Mecklenburg County
Dear Mr. Call,
In accordance with your application received June 6, 2024, and additional information requested July 1,
2024,and received July 2,2024,we are forwarding herewith Permit No.WQ0045492 dated July 12,2024,
to Canvas Residential, LLC(Permittee)for the construction and operation upon certification of the subject
wastewater collection system extension and pump station. This permit shall be effective from the date
of issuance until rescinded and shall be subject to the conditions and limitations as specified therein.This
cover letter shall be considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T.0403 or any individual system-wide collection system
permit issued to the Permittee.
Condition 11.7: Upon completion of construction and prior to operation of these permitted facilities,the
completed Engineering Certification form with checklist attached to this permit shall be
submitted with the required supporting documents to the address provided on the form.
Permit modifications are required for any changes resulting in non-compliance with
this permit, regulations,or the Minimum Design Criteria. [15A NCAC 02T.0116]
It shall be the responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
D_E Q?),
North Carolina Departm of Etrvtron Cemc Quality Dtvtswn Resources
Mooreswdte Regbnal O1fIcent e 11,10 East nterntal A.erxte.State 301 of MooresvWater i Ie.North Carolina 2811S
a. »„t�^• —^• � 704.t63.1649
Canvas Residential, LLC
Permit No.WQ0045492
If any parts, requirements,or limitations contained in this permit are unacceptable,you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition,conforming to Chapter 150E of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made,this permit shall be final and binding.
If you need additional information concerning this matter, please contact Maria Schutte at (704) 235-
2184 or via e-mail at maria.schutte@deq.nc.gov.
Sincerely,
,-DocuSigned by:
Ey e, L0 .,,
27DF9ACF858043F...
Brandy Costner,Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: Steven S.Wilson (P.E.) (electronic copy)
Charlotte Water(electronic copy)
Ward Harris, Mechanical/Plumbing Code Administrator, Mecklenburg(electronic copy)
Water Resources Central Files (electronic copy)
Regional Office Files
Page 2 of 8
•
NORTH CAROLINA
Environmental Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Canvas Residential, LLC
Mecklenburg County
for the construction and operation of approximately 789 linear feet of 8-inch gravity sewer, to serve
40 Townhomes as part of the Clyde Bungalows project,and the discharge of 7,600 gallons per day of
collected wastewater into the Charlotte Water existing sewerage system, pursuant to the application
received June 6, 2024, and additional information requested July 1, 2024, and received July 2, 2024,
and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted
February 12, 1996,as applicable;the Division's Minimum Design Criteria for the Fast-Track Permitting
of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and other supporting data
subsequently filed and approved by the Department of Environmental Quality and considered a part
of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
—DDooculS.ign�ed by:e L
E� 0 C.
'—27DF9ACF858043 F...
Brandy Costner, Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By Authority of The Environmental Management Commission
Permit Number: WQ0045492
Permit Issued: July 12,2024
Page 3of8
SUPPLEMENT TO PERMIT COVER SHEET
Canvas Residential, LLC is here, by authorized to:
Construct,and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the Charlotte Water Irwin Creek
Wastewater Treatment Plant in accordance with Permit Number NC0045492.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable;and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000, as applicable, unless specifically mentioned herein. Division approval
is based on acceptance of the certification provided by a North Carolina-licensed Professional Engineer in
the application. It shall be the Permittee's responsibility to ensure that the as-constructed project meets
the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
SPECIAL CONDITIONS
1. This permit shall become voidable unless the agreement between Canvas Residential, LLC and
Charlotte Water for the collection and final treatment of wastewater is in full force and effect. [15A
NCAC 02T.0304(h)]
2. No flow in excess of the quantity permitted herein 7,600 GPD shall be made tributary subject
the subject
sewer system until an application for permit modification for an increase in flow has been submitted
to and approved by the Division. [15A NCAC 02T.0304(b)]
II. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0104;G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996, as applicable;the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1,2000,as applicable;and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
Page 4 of 8
•
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters,and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day(i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at
least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina
General Statute§143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems,the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs(a)through(i)of this Rule for a minimum of three
years with exception of the map,which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Mooresville
Regional Office, telephone number(704) 663-1699 as soon as possible, but in no case more than 24
hours,following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure,due to known or unknown reasons,that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.;or
Page 5 of 8
b. Any SSO and/or spill over 1,000 gallons;or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number (800) 858-0368 or (919) 733-3300.
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part II of Form CS-SSO(or the most current Division approved
form) can also be completed to show that the SSO was beyond control. [G.S. 143-215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form with checklist attached to this permit shall be submitted with the
required supporting documents to the address provided on the form. A complete certification is one
where the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement,then a copy of the Articles
of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately
filed with the applicable County's Register of Deeds office shall be submitted with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan& profile views of sewer lines&force
mains) of the wastewater collection system extension. Final record drawings should be clear on
the plans or on digital media (CD or DVD disk) and are defined as the design drawings that are
marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,velocity,
pump cycle times, and level control settings, pump station buoyancy, wet well storage, surge
protection, detention time in the wet well, and force main, ability to flush low points in force
mains with a pump cycle,and downstream sewer capacity analysis. If a portable power source or
pump is dedicated to multiple stations, an evaluation of all the pump stations' storage capacities
and the rotation schedule of the portable power source or pump, including travel timeframes,
shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Page 6 of 8
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit(including pipe length changes of 10%or greater,increased flow,
pump station design capacity design increases of 5%or greater, and increases in the number/type
of connections),regulations,or the Minimum Design Criteria. Requested modifications or variances
to the Minimum Design Criteria will be reviewed on a case-by-case basis and each on its own merit.
Please note that variances to the Minimum Design Criteria should be requested and approved during
the permitting process prior to construction. After-construction requests are discouraged by the
Division and may not be approved, thus requiring replacement or repair prior to certification &
activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis.Resolution of such request shall be evident prior to completing and submitting
the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and limitations contained in this permit;15A NCAC 2T;the Division's
Gravity Sewer Design Criteria adopted February 12,1996 as applicable;the Division's Minimum Design
Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted June 1, 2000 as
applicable; and other supporting materials may subject the Permittee to an enforcement action by
the Division, in accordance with North Carolina General Statutes §143-215.6A through §143-215.6C,
construction of additional or replacement wastewater collection facilities,and/or referral of the North
Carolina-licensed Professional Engineer to the licensing board. [15A NCAC 02T.0104; 15A NCAC 02T
.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions,the Permittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement facilities.
[15A NCAC 02T.0110; 15A NCAC 02T.0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules,regulations,or ordinances that may be imposed by the Division any other Federal,State,or Local
government agencies which have jurisdiction or obtaining other permits which may be required by
the Division or any other Federal,State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 8
CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to operation of the permitted sewers, per 15A NCAC 02T.0116.
Certifying Engineer:
Certification Review Date:
Project Name:
WQ00 Project County:
1) Has permittee information changed since the permit was issued (or last modified):change of mailing address,
change of ownership,transfer from developer to HOA/POA, etc. ['Yes ❑ No
• If yes, please provide either a change of ownership form or new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as-built drawings have been signed,sealed,and dated by an N.C. PE? n Yes ❑ No
3) Final Engineering certification? n Yes ❑ No
• If Partial Engineering certification, provide detailed narrative including what is being certified in the current
phase,what was previously certified(if applicable),and what is left to be certified.
4) Adequate information related to sewer lines: ❑ Yes ❑ No ❑ N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed:At the end of each line, at all changes in grade, size, or alignment, at all
intersections,and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches).
5) Adequate information related to pump stations: ❑ Yes ❑ No ❑ N/A
• Ensure power reliability option was selected per 15A NCAC 02T.0305(h).
6) Was project construction completed in accordance with all of the following: ❑ Yes ❑ No n N/A
• 15A NCAC 02T, Minimum Design Criteria (MDC)for the permitting of Gravity Sewers (latest version),and MDC
for the Permitting of Pump Stations and Force Mains (latest version)?
If not,a variance approval is required in accordance with 15A NCAC 02T.0105(b), prior to certification and operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans,specifications,calculations, and any other
pertinent information to the Central Office (one hard copy,one digital copy).
• The central office will review the variance request, and if approvable, specific language regarding the variance
will be incorporated into the permit,either via a special condition or a supplementary letter. A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contains high priority lines(15A NCAC 02T.0402(2))? ❑ Yes ❑ No
• If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403 (a)(5). If the permit does not include this language,the Fast Track reviewer will reissue the permit with
the appropriate language.
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit(including pipe
length difference of 10%or greater,change in flow, pump station design capacity design change of 5%or greater,and
change in the number/type of connections)? ❑ Yes ri No
• If yes, a permit modification request must be submitted to the appropriate Regional Office, and a modified
permit with revised certification must be issued prior to certification and operation.
NC DWR—Water Quality Regional Operations Section 610 East Center Avenue,Suite 301, Mooresville, NC 28115
Mooresville Regional Office Phone: (704)663-1699 FAX: (704)-633-6040
FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: CANVAS RESIDENTIAL, LLC
PERMIT#: WQ0045492
PROJECT: CLYDE BUNGALOWS
ISSUE DATE: JULY 12, 2024
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation. It
should be submitted in a manner that documents the Division's receipt. Send the required documentation
to the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I,the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name,Title Signature Date
ENGINEER'S CERTIFICATION
I, , as a dilly registered Professional En sneer in the State of North Carolina,
having been authorized to observe (LI periodically, ❑ weekly, full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that,to the best of
my abilities, due care and diligence was used in the observation of the following construction:
approximately 789 linear feet of 8-inch gravity sewer;such that the construction was observed to be built
within substantial compliance of this permit; 15A NCAC 02T; the Division of Water Resources' (Division)
Gravity Sewer Minimum Design Criteria adopted February 12, 1996,as applicable;the Division's Minimum
Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as
applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature&date:
n Final n Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
North Carolina Department of Environmental Quality Division of Water Resources
Q Mooresville Regional Office 1601 East Center Avenue,Suite 301 I Mooresville,NC 28115
D 704.663.1699
OpMment of FimmM1nenui 0.1\
Docusign Envelope ID OD3BEE9C-F067-466D-9FA5-D4626D689B40
INTENT TO PURCHASE
Pulte Home Company, LLC has entered into a Real Estate Sale Contract with Clyde
Development Partners, LLC dated June 12, 2024, as amended ("Pulte Purchase Contract") to
purchase that property comprised of Tax Parcel Nos. 071-143-09, 071-143-10, 071-143-11, and
071-143-12 as shown on Exhibit A attached hereto(the"Property"). Clyde Development Partners,
LLC,a South Carolina limited liability company,has been assigned the following two(2)contracts
to purchase the Property: (1) Real Estate Purchase Agreement dated January 22, 2024 with Texas
Forever, LLC for Tax Parcel No. 07114309, as amended; and(2)Real Estate Purchase Agreement
dated September 8,2023 with Sandra K. Rhodes for the purchase of Tax Parcel Nos. 071-143-10,
071-143-11 and 071-143-12, as amended (collectively, the "Clyde Development Partners, LLC
Purchase Contracts"). Once Clyde Development Partners, LLC has purchased the Property
pursuant to the Clyde Development Partners, LLC Purchase Contracts, it shall then convey the
Property to Pulte Home Company, LLC pursuant to the Pulte Purchase Contract. The parties to
each of the above Contracts has executed this Intent to Purchase to confirm the above Contracts.
PULTE HOME COMPANY, LLC.
a Michigan limited liability company
r—DouSigned by:glIMIJ\I\
By: l \fl
Name: Matt Dubbeld
Title: VP Finance
CLYDE DEVELOPMENT PARTNERS,LLC,
a South Carolina limited liability company
Docusigmd by:
By: bin. (,a.,
t[Ur{Yr...
Name: Creighton call
Title: Authori zed Agent
(—Signed by:
L?Aika.
ssresie9FOrn6...
Sandra K. Rhodes
TEXAS FOREVER, LLC,
a North Carolina limited liability company
Signed by:
By: 1✓ord t°mft
Name: oraWcfReett4ss...
Title: Owner
4866-7276-8742,v. 1
Docusign Envelope ID:OD3BEE9C-F067-466D-9FA5-D4626D689B40
INTENT TO PURCHASE
Pulte Home Company, LLC has entered into a Real Estate Sale Contract with Clyde
Development Partners, LLC dated June 12, 2024, as amended ("Pulte Purchase Contract") to
purchase that property comprised of Tax Parcel Nos. 071-143-09, 071-143-10, 071-143-11, and
071-143-12 as shown on Exhibit A attached hereto(the"Property"). Clyde Development Partners,
LLC,a South Carolina limited liability company,has been assigned the following two(2)contracts
to purchase the Property: (1) Real Estate Purchase Agreement dated January 22, 2024 with Texas
Forever,LLC for Tax Parcel No. 07114309, as amended; and(2)Real Estate Purchase Agreement
dated September 8, 2023 with Sandra K. Rhodes for the purchase of Tax Parcel Nos. 071-143-10,
071-143-11 and 071-143-12, as amended (collectively, the "Clyde Development Partners, LLC
Purchase Contracts"). Once Clyde Development Partners, LLC has purchased the Property
pursuant to the Clyde Development Partners, LLC Purchase Contracts, it shall then convey the
Property to Pulte Home Company, LLC pursuant to the Pulte Purchase Contract. The parties to
each of the above Contracts has executed this Intent to Purchase to confirm the above Contracts.
PULTE HOME COMPANY, LLC.
a Michigan limited liability company
DocuSigned by:
[ YMJ [L\k \By:
AIETEwor,og83. Matt Dubbeld
Name:
Title: VP Finance
CLYDE DEVELOPMENT PARTNERS, LLC,
a South Carolina limited liability company
by
By: cDocuSIgned
t
aottursur...
Name: Creighton call
Title: Authorized Agent
Signed by:
LM a
e4aar441eaFb446...
Sandra K. Rhodes
TEXAS FOREVER, LLC,
a North Carolina limited liability company
Signed by:
By: erotc, Mt
Name: r2P459179efts 3...
Title: owner
4866-7276-8742,v. 1