WQ0040141_Application_20180710

YARBROUGH WILLIAMS & HOULE, INC.
Planning a Surveying • Engineering
NCBELS C-0475
SC COA332
July 5, 2018
NCOEQ/ QWR
Mooresville Regional Office
610 East Center Avenue
Mooresville, North Carolina 28115
Re: Proposed Gravity Sanitary Sewer
Riverbend Phase II
Mecklenburg County, NC
Dear Sir:
The enclosed submittal package for the referenced project consists of a proposed gravity sanitary sewer
system to serve 7 single family lots. The collection system will be operated and maintained by the
Carver Falls Owners Association. Charlotte Water has agreed to accept the flow generated by this sewer
extension. The package contains the following items:
➢ Application FTA 04-161 original, 1 copy
➢ Cover Letter
➢ Application Fee $ 480.00 to NCDEQ
➢ Form FTSE 04-16
➢ Site Maps
➢ FIOA 11-17 Operational Agreement
If you should have any questions or need additional information, feel free to give me a call.
Sincere
A FOGIe PE, PLS
730 Windsor Oak Court, Charlotte, NC 28273 • P.O. Box 1198, Pineville, NC 28134 • 704.556.1990 • fax [phone]

State of North Carolina
nWR
Department of Environmental Quality
Division of Water Resources
ISA NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
DIVI-fan of Water Resources INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, 15A
NCAC 02T, 15A NCAC 02T .0300, Division policies and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must he prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be available upon request by the Division.
Projects that are deemed permitted (do not require H permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review);
A Projects that require an environmental assessment in accordance with 15A NCAC 1C A 100;
A Projects that do not meet any part of the minimum design criteria (MDC) document;
> Projects that involve a variance from the requirements of 15A NCAC 2T;
1r Pressure sewer systems utilizing septic tank: -effluent pumps (STEPS) or simplex grinder pumps;
Y STEP or simplex grinder pumps connecting to pressurized systems (e.g, force mains);
Vacuum sewer systems.
General - When submitting an application, please use the following instructions as a checklist in order to ensure all required
items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time
and reduce: the amount of requested additional information. Failure to submit all required items will necessitate additional
processing and review time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit
one original and one copy of the application and supporting documentation.
A. One Original and One Copy of Application and Supporting Documents
® Required unless otherwise noted
R. Cover Letter (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested pennitting action.
i� Be specific as to the system type, number of homes served, flow allocation required, etc.
If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal.
)�, Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages):
® Submit the completed and appropriately executed application.
If necessary for clarity or due to space restrictions, attachments to the application may be inade.
® If the Applicant Type in Item I.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina Secretary of State.
❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
® The Project Name in Item 11.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
Carolina licensed Professional Engineer.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106ib].
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 ISA NCAC 02T .0106(b).
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Pagel of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
Y Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
D The flow acceptance indicated in forin FTSE must not expire prior to permit issuance and must be dated less than one
year prior to the application date.
Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143-
215.67(a).
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x I I -inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
Location of the project (gravity sewer, pump stations & force main)
;W Downstream connection points and permit number (if known) for the receiving sewer
® include a street level map (aerial) showing general project area so that Division staff can easily locate it in the field.
G. Existing Permit (All Modification Packages):
❑ Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification (i.e., pennit description, flow allocation, treatment facility, etc,).
I1. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
y This a]ternative is only available for average daily flows less than 15,000 gallons per day
> It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is
compatible with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 021' .0106(b)) or
proposed contractor, stating that "the portable power generation unit or portable, independently -powered pumping
units, associated appurtenances and personnel are available for distribution and operation of this pump station."
If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump
stations' storage capacities and the rotation schedule of the portable power source or pump, including travel
timeframes, shall be provided in the case of a multiple station power outage. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115fa)[l� provide 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 sewer extension, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff slating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area or
that franchise approval is expected.
J. Operational Agreements (Applications from HOAIPOA and Developers for lots to be sold):
® Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115_, submit the properly executed Operational Agreement F{ ORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Deciarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement_(FC?RM:_DI V)
For Ynore information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THC APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Palk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincotn, Mecklenburg, Rowan,
[phone]
5tanly, Union
[phone] Fax
Raleigh Regional Office_
1628 Mail Service Center
Chatham, Durham, Edgecomhe, Franklin,
_Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washinaton Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal drive Extension
Brunswick, Carteret, Columbus, Duplln, Now
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
ISA NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvislon of W.&tcr Resources FTA 04-I6 & SUPPORTING DOCUMENTATION
Application Number: (to be cum pleml by nWtt1
AB items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Carver Falls Owners Association. (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Dennis Rochelle per 15A NCAC 021.010�b
Title: Manager
4. Applicant's mailing address: 1450 Environ Way
City: Chapel Hill State: NC Zip: 27517-
5. Applicant's contact infannation:
Phone number: [phone] Email Address: droehelleQewp-ne.corn
H. PROJECT INFORMATION:
I. Project name: Riverbend Phase II
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQOQ and issued date:
If new construction but part of a master plan, provide the existing permit number; WQOO
3. County where project is located: Mecklenburg
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.325° Longitude:-80.971
5. Parcel ID (i£ applicable): 03120130
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Marc A Houle License Number: 14906
Firm: Yarbrough -Williams & HouIe. Inc.
Mailing address: PO Box 1198
City: Pineville State: NC Zip: 28134-
Phone number: (7O4) 556-1990 Email Address: march(?_ Y-wh.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Nance: McAlpine Permit Number: NCO024970
Owner Name: Charlotte Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ622-04-618 Downstream (Receiving) Sewer Size: 12 inch
System Wide Collection System Pei-niit Number s(if applicable): WQCS
Owner Name(s): Charlotte Water
FORM: FTA 04-16 Page 1 of 5

Vl, GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached'?
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement FORM: DEV been attached?
❑ Yes ❑No ®NIA
3. If the Applicant is a Home/Property owners' Association, has an Operational Agreement f1=ORM: I-IOA been attached';
® Yes ❑No ❑NIA
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ SchooI 1 preschool 1 day care ❑ Medical 1 dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses l offices l factories ❑ Nursing Home Other (Explain in Attachment)
5. Nature of wastewater: 100 %6 Domestic/Commercial % Commercial
% Industrial See 15A NCAC 02T .0103 20 )
�Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ® Yes [--]No
➢ If Yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02TJ 14�f }
Daily Design Flow a s
No. of Units
Flow
Residential Dwelling Unit
190 gal/day
7
1330 GPD
gal/
GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
Total
1330 GPD
a See 15A NCAC 02T .0114(1b,_WL (0111_and_(ee)[2for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 141 sliall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
S. Wastewater generated by project: 1330 GPD (per 15A NCAC 02T .0114}
1, Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04- l 6 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I . Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
6 742 PVC
Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Y Section III contains information related to minimum slopes for gravity sewer(s)
Y Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & NIDC (Pumn Stations/Force Mains
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: ° Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4, Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)�
Y 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
Or if the pump station has an average daily flaw less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
Y It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
Y 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 tinneframes, shall be
provided in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

❑1.. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) &_(g)
➢ 15A NCAC 02T.0305(t) contains minimum separations that shall be provided for sewers stems:
® Yes [:]No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
19 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, 5A, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
,Ag building foundation
5 feet
Any basement
10 feet
Top slo a of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage s sterns and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305(m contains alternatives where separations in 02T.0305LQ cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications web a e
)0, If noncompliance with 02T.0305(0 or (gj, see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® NIA
);, Seethe Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ® NIA
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual pertnits or 401 Water Quality Certifications?
➢ Information can be obtained frcnn the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are 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, stortnwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ NIA
➢ 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 permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the_Pennittingof Pump Stations
and Force Mains (latest version), and the Gravi1y Sewer Minimum Design Criteria latest version as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the re nest is re uired prior to submittal of the Fast Track Application and supportin
documents.
2. Professional Engineer's
name from Application Item III.1.)
attest that this application for
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, Gravity Sewer
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 CIass 2 misdemeanor, which may
include a Fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. 11,
North Carolina Professional Engineer's seal, signature, and date: aC'•+•,
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1,
(Signature Authority's name & title ffom Application Item 1.3.)
11 `1 SEAL '
1490�
•%%yGl,, o
+4� NTHOO
attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly snakes 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 $10,00OAs well as civil penalties up to $25,000 per violation.
Signature: Y Date: - f__ f Y
FORM: FTA 04-16 Page 5 of

CHARLOTTE
W6TER
.tune 19, 2018
Mr. Dennis Rochelle
Carvers Falls Owners Association
1450 Environ Way
Chapel Hill, NC 27517
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
CARVER FALLS OWNERS ASSOCIATION
CARVERS FALL ROAD, CHARL077E NC
CLTWATER TRACKING# 2018679
After an analysis of the sanitary sewer associated with the proposed design of project, Riverbend
Phase ll, it was determined that there is sufficient capacity to accommodate the proposed sewer flow
of 1,330 gallons per day (7 single-family lots x 190 gpollot) at the connection point(s) indicated on
the submitted site plan for transmission to the McAlpine Creek Wastewater Treatment Plant; NPDES
permit number NC0024970, for treatment. This acceptance of flow is based upon the existing
capacity of the designated publicly owned treatments works. Please see the attached NC DECK
FTSE form.
Charlotte Water (CLTWater) agrees to furnish water to the subject project. The water quality to the
subject project is regulated by the State Drinking Water Act Amendments of 1986 and The Water
Supply Management Plan, PWS iD # 0160010 on file with the Public Water Supply Section of
NCDEQ- However, CLTWater cannot guarantee a constant pressure or quality of flow.
The applicant should understand that due to the involvement of other agencies and continuing
growth of the water system, the ability to provide service for future projects cannot be guaranteed
nor reserved. Connection to the CLTWater system is accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct or extend private
water or sewer systems, as the appropriate local or State permits are required prior to construction.
If the DDDror)riate authorization to construct ,permits are not obtained construction has not started
within Q) years of issuance of this flow acceptance, and payment for any service connections have
not been received within (2) years of issuance of this flow acceptance letter, this flaw acceptance
approval shall be rescinded and a new flow acceptance request must be made. If you have any
questions, please d❑ not hesitate to contact me at [phone].
Sincerely,
'%W'Yd04W. Fd"�M
Gwendolyn Banner
Engineering Assistant
Charlotte Water 5100 Drookshite Bivd, Char lotte, NC 29216 Chat lottewater.org
operated icy the City of Charlotte

DWR
olvlilon of WAtet Resour- .
Entity Requesting Allocation
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
CARVER FALLS OWNERS ASSOCIATION
Project Name for which flow is being requested: Riverbend PH II Private Sewer
More than one FTSE may he required for a single project if 1he owner of the WWTP is not responsible_ for all pianp
stations along 1he route oj'the proposed waslewalerflum
1. Complete this section only if you are the owner of the wastewater treatment plant,
a. WWTP Facility ]dame: McAlpine Creek, Irwin Creek, Sugar Creek
b. WWTP Facility Permit #: NC0024970, NC0024945, NG0024937
AI! flows are in MGD
c. WWTP facility's permitted flow 99.0
d. Estimated obligated Flow not yet tributary to the W WTP 11.22
e. WWTP facility's actual avg. flow 65.0
f. Total flow for this specific request 0.0013
g. Total actual and obligated flows to the facility 76.22
h. Percent of permitted flow used 77.0%
11. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow,
List pump stations located between the project connection point and the WWTP:
(A)
(33)
(G)
(1))=(B+C)
(E)=(A-D)
Design
Obligated,
Pump
Average Daily
Approx.
Not Yet
Total Current
Station
Firm
Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity, 'r
(Firm 1 po,
Daily Flow,
Daily Flow,
Obligated
Available
NUmber)
MOD
MGD
MGD
MOD
Flow
Capacity***
HWY 27
1.89
0.76
0.34
0.029
0.35
0.40
Long Creek
9.90
3.96
4.01
0.38
4.40
-0.44
Paw Creek
10.5
4.2
4.68
0.53
5.22
-1.02
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0,
Downstream Facility Name (Sewer): Highway 27 Outfall
Downstream Permit Number: WQ0020883
Page l of 6
FTSE 04-16

Ill. Certification Statement:
I Keri Cantrell certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the Flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation
of the planned improvements identified in the planning assessment where applicable. This
analysis has been performed in accordance with local established policies and procedures using
the best available data. This certification applies to those items listed above in Sections 1 and I1
plus all attached planning assessment addendums for which l am the responsible party.
Signature ofthis form indicates acceptance of this wastewater flow.
Signing official Signaru,-e
Date
Page 2 of 6
FTSE 64- l6

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available
Capacity is < Q.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
&6%1 ta.2% % and 0.3810.53 MG❑ of the Available Capacity (E) in Pump Station
b.
C.
Long Greek 1 Paw Creek ; and that
The rate of activation of this obligated, not yet tributary capacity is currently approximately
o.sa i 0.53 MGD per year; and that
A funded Capital Project that will provide the required planned capacity, namely
Lang Creak ER Basin and Paw Creek Force main Replacement is in design or under construction with
planned completion in and/or
d. The following applies:
Charlotte Waters Community Investment Plan has allocated funds for Improvements to the Paw Creek force main and a five -million gallon
ED basin at !rang Creek Pump station. Lang Creek and Paw Creek pump stations oprrale as a system rising SCADA data to determine the rate of
flaw delivered from the upstream pump station, Long Creek, to Paw Creek the downstream facility. Long Creek pump station has the ability
to transfer flows to flow equalization tanks during peak flow events and then meter out flow to Paw Creek as flow conditions a{low.
to addilion, the basins for bath stations are large and result In a daily peaking factor of 2.06 at Paw Creek Pump Stal ton. which allows
the stations to operate safely at flows greater than 40% or the film pumping capacity.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification
to allow this flow to be permitted, without a significant likelihood of over --allocating capacity in
the system infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S.
143-215.67(a) which prohibits the introduction of any waste in excess of the capacity of the
waste disposal system.
Signing Cl f vial Signature
5116/2018
Dale
Page 3 of 6
FTSE 04-16

North Carolina Secretary of State Search Results
Page 1 of 1
• Upload a PDF Filing • Order a Document Online • Add Entity to My Email Notification List • View Filings
Non -Profit Corporation
Legal Name
Carver Falls Owners Association
Information
Sosld: 1711334
Status: Current -Active
Citizenship: Domestic
Date Formed: 6/4/2018
Registered Agent: Rochelle, Dennis E., Ili
Addresses
Mailing
1450 Environ Way
Chapel Hill, NC 27517
Principal Office
1450 Environ Way
Chapel Hill, NC 27517
Reg Office
1450 Environ Way
Chapel Hill, NC 27517
Reg Mailing
1450 Environ Way
Chapel Hill, NC 27517
https://www.sosne.gov/online_services/searchBusiness_Registration_Results 7/5/2418

51X- Ez-0tkshire
Msci�:enbaira C��=Y
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v 7Q., j9q-;, thi Divisio: �a saved vour' asmwdtu flour rec!no aon zegaesi r'�' d- 5'..XPO'L
.ic'a eaia as. vncer na wastewaee flaws a„sos ted with the entire Charia�:-McCL-n' � Juliry:
Dep&lment ser-; i�.e area. Dar LIja red,
later re^kuested f1le Division in ac d -with Yia� C=- iina WaW ews fmre
��t? Crrr'I3 per :lwelhna unit K*b3clA +gas UMVIously approved
zsu av„r� rode, to ? 9G �GT En per �.well-Ln snit for ;iue` residexxtsal areas a~zd 135A per
.{pj,es'3.in Y3.F.J.I� rL�Y-�i. a f�?G �-.R. L SU.pp �I� EJS y']',::r refi.�il�sL; C�.vci3-r?�s-Si �La waS provl�'ied
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:Vic_ p e ye wastewater vn�-'r�ent plant service seas.
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s cC accordance ��ztb �5A 1*�CaC .�? 1gi1}C�]: awe�'er. i�z view. �f fte submince, documentation.
awed uate justl Citation Gvas p:,�, cIed in Cupp a ? o ae wasLewa r °tow teductl an rer�uest The work
caniplePed by Cam, Dr_�esser clzxz co�:wd of �na base :vast water cows: g=a dwa-a
in-61tredon, Lnd .rai*a a .-depe dent inS"�i a .anl2t-�.vw 3az itle �-a , Sugar, and McAlpine Creek
wasmT.4a ar L e8.u'' enr plant see-,q� a:='cs- Data was %'3ilect-,d ff= "IN fl, I Monitors (bc, �7EIIL3ilEiiL'�isC�
zemoom�+y) and 14 r� -4auges ,dui?Q Novelwber aid Dece�' ber 1991 loca.*.: d alarlg r aAjE�r sewer ���1�es
wzu in the shadd 9z, �a dstr,l dry-wUather .fl �ws were develop d for each of tlae three (3) wastevrawr
U--;i"Un�ut pla --t se vice areas wtLch inCludied ' L uudwater;.r!Iuariar_. .she servica area rir;r-wearher ia�v
0-5Lmates we —re further broken-down into Eiru"Lmn (13) dma mane basins_ -A%I ese revised dry -weather flame+
�sru arcs were cc ry ta�tc 446
-use based flow esd=tes ciu�fetaped i:sir, e:� sling Ind dam for
O:i rtaeari a7d a7est �n D � c�ja mLaa zorli--s as provided by rho: c: =ry of Cha*lai-te's Depatrulent of
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TI-WIlbers Were d--ve!09ed rJ "�r1II, �L��c, ?*3C1 MCA 13in Ciu�A$e1�+"_CG''��n?5, thL:�S'�:iS�77�1ud iSo e
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2016 1"wi'

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STATE OF NORTH CAROLINA
COUNTY OF MECK.LENBURG
Permit No.
HOME/PROPERTY OWNERS' OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (dl) and uttered into this 6th day of
JUNE , by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
CARVER FALLS OWNERS ASSOCIATION , a non-profit corporation organized
and existing under and by virtue of the laws of the State of North Carolina, hereinafter known as the
ASSOCIATION.
WITNESSETH:
The ASSOCIATION was formed for the purpose, among others, of handling the property, affairs and
business of the development known as RIVERBEND PHASE II
(hereinafter the Development); of operating, maintaining, re -constructing and repairing the common
elements of the lands and improvements subject to unit ownership, including the wastewater collection
system with pumps, wastewater treatment works, and/or disposal facilities (hereinafter Disposal System);
and of collecting dues and assessment to provide funds for such operation, maintenance, re -construction and
repair.
2 The ASSOCIATION desires, to construct and/or operate a Disposal System to provide sanitary sewage
disposal to serve the Development on said lands.
3. The ASSOCIATION has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and/or operate the Disposal System.
4, The Development was created subject to unit ownership in the dwellings units, other improvements and
lands through tiling of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter47C
or 47F of the North Carolina General Statutes.
5_ The COMMISSION desires to assure that the Disposal System of the Development is properly constructed,
maintained and operated in accordance with law and permit provisions in order to protect the quality of the
waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties hereto,
the COMMISSION and ASSOCIATION do hereby mutually agree as follows:
1. The ASSOCIATION shall construct dhe Disposal System and/or make any additions or modifications to the
Disposal System in accordance with the permit and plans and specifications hereafter issued and approved
by the COMMISSION, and shall thereafter properly operate and maintain such systems and facilities in
accordance with applicable permit provisions and law.
2. The ASSOCIATION shall provide in the Declaration and Association Bylaws that the Disposal System and
appurtenances thereto are part of the common elements and shall thereafter be properly maintained and
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 bythe Association except for Federal, State, and Iocal taxes and insurance.
FORM: HOA 11-17 Page 1 of 2

3, The ASSOCIATION 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 fiend shall be separate from the routine maintenance fund allocated for the facility and shall be part of
the yearlybudget.
4 In the event the common expense allocation and separate fund(s) are not adequate for the construction,
repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for
special assessments to cover such necessary costs. There shalt be no limit on the amount of such
assessments, and the Declaration and Bylaws shall be provided such that special assessments can be made
as necessary at any time.
5. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the ASSOCIATION shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit mayrequire as condition of accepting the Development's wastewater.
& Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the ASSOCIATION to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the ASSOCIATION shall
provide in the ASSOCIATION Bylaws that the ASSOCIATION shall not enter into voluntary dissolution
without first having transferred its said system and facilities to some person, corporation or other entity
acceptable to and approved by the COMMISSION bythe issuance of a permit.
7, The ASSOCIATION shall not transfer, convey, assign or otherwise relinquish or release its responsibility
for the operation and maintenance of its Disposal System until a permit has been reissued to the
ASSOCIATION'S successor.
8. The agreements set forth in numbered paragraphs I, 2, 3, 4, 5, 6, and 7 above shall be conditions of any
permit issued by the COMMISSION to the ASSOCIATION for the construction, maintenance, repair and
operation, of the Disposal System.
a. 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 CARVER FALLS OWNERS ASSOCIATION
MANAGEMENT COMMISSION Na of SSq
B
Linda Culpepper (Signature)
Jnteriin Director, Division of Water Resources � W `1- / �� y 4-) rj J
Print Name and Title
(Date)
FORM: HOA 1 1-17 Page 2 of 2
1Z. C. to
(Date)