WQ0040340_Application (FTSE)_20181024

Central Files* APS SWIP
10/4/2018
Pe,i-nnfli NumbeE.- WQ0040340 Permit Tracking Slip
Program Category Status Project Type
Non_--d1sch-arge----- in review New-Rr-oje-et Type Version' Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions A Individual
Primary Reviewer Permit Contact Affiliation
dean.hunkele
Coastal SWRule
Permitted Flow
F ra c- - flf it Y
Facility Name
LaRue Townhomes Private Sewer
Location Address
0 W h-8 0- r
Major/Minor Region
Minor Wilmington
County
New Hanover
Facility Contact Affiliation
Owner Name Owner Type
Kevin Pfirman Architect PLLC Non -Government
Owner Affiliation
Kevin Pfirman
Dates/Events
307 Martin St
Wilmington NC 28401
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue
10/3/2018
Reg, ulated Activities Requested /Received Event's
Additional information requested
Additional information received
Outfall
Effective Expiration

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September28th, 2018
NCDEO'"h
V
Division ®f Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
Re: LaRue Townhomes
PN 2018-007 *
Dear To Whom It May Concern,
Please find enclosed (1) original and (1) copy of Fast -Track Application for Public
SS Main Extensions, (1) original and (1) copy of Fast -Track Application for Private SS
Main Extensions, (1) FIFSE Form, (1) Developer's Operational Agreement form, (1) HOA
Operational Agreement form, (2) fee checks ($480.00), and (2) USGS Topographic
Maps.
Please review for approval and contact us with any questions, comments or additional
information needed.
Sincerely,
Intracoastal Engineering PLLC
pi.
Oz,
'A
40
Charles D. Cazier, P.E.\,,,,
5725 Oleander Dr. Unit E-7 Wilmington, NC 284000 [phone]

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Professional Limited Liability Company
Legal Name
Kevin Pfirman Architect, PLLC
Information
Sosld: 0695364
Status: Current -Active
Annual Report Status: Not Applicable
Citizenship: Domestic
Date Formed: 10/17/2003
Registered Agent: Pfirman, Kevin
Addresses
Mailing
5703 Wrightsville Avenue
Wilmington, NC 28403
Professions
Architectural services
Reg Office
5703 Wrightsville Avenue
Wilmington, NC 28403
Reg Mailing
5703 Wrightsville Avenue
Wilmington, NC 28403

9/2 8 /2 018
SewerNarrative
LaRue Townhomes
Wilmington, NC
PN 2018-007
LaRue Townhomes is a 0.32 acre tract located in Wilmington, NC. we are
proposing a project that will serve 8 townhome units. The requested flow will be for
only 8 two bedroom units 1,920. GPD (240gpd/lot * 8 units). This flow will be routed to
a proposed public MH by means of b" private gravity main with residential services
proposed. This will tie to a second proposed public MH to be located in Martin St., tying
into the existing 8" main. The flow will ultimately reach the M°Dean Maffitt (SSWIVTP)
treatment plant WNIVTF Permit No. NCo023973. Stormwater runoff from this site is
discharged to Cape Pear Diver Classification SC Index #18471)

State of North Carolina
- FLJ
Application N r• title l Number: (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Kevin Pfirman Architect, Pllc. (company, municipality, HOA, utility, etc.)
2. Applicant e: Individual pp type: ❑Corporation ❑General Partnership ❑Privately -Owned Public Utility
El Federal ❑ State/County El Municipal ® Other
3. Signature authority's name: Kevin Pfirman per 15A NCAC 02T .0106(b)
Title: Member -Manager
4. Applicant's mailing address: 307 Martin St.
City: WILMINGTON State: NC Zip: 28401-
5. Applicant's contact information:
Phone number: [phone] Email Address: kevin(pfirman.com
II. PROJECT INFORMATION:
1.
IV
Project name: LaRue Townhomes-k�%w'
2.
Application/Project status: Z Proposed (New Permit) El Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit nu.m'rier: WQ00
3.
County where project is located: NEW HANOVER
4.
Approximate Coordinates (Decimal Degrees): Latitude: 34.218' Longitude:-77.943 °
5.
Parcel ID (if applicable): R05413-036-005-000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:'
1.
Professional Engineer: Charles Cazier/Design Engineer License Number: P-0662
R
F
OCT.
Firm. INTRACOASTAL ENGINEERING
Mailing address: 5725 Oleander Dr. Unit E-7
City: WILMINGTON State: NC Zip: 28403-
Phone number: [phone] Email Address: Charliegintracoastalengineering.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: M'Kean Maffitt (SSWWTP)
Owner Name: CFPUA
Permit Number: NCO023973
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): CJ
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes [:]No NN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DM been attached?
® Yes ❑No ❑N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
0 Yes QNo ❑N/A
4. Origin of wastewater: (check all that apply):
� Residential Owned ❑Retail (stores, centers, malls) ❑Car Wash
❑ Residential Leased El Retail with food preparation/service ❑Hotel and/or Motels
❑ School /preschool /day care El Medical /dental /veterinary facilities ❑Swimming Pool /Clubhouse
❑ Food and drink facilities ❑Church Ej Swimming Pool/Filter Backwash
❑ Businesses /offices /factories Ej Nursing Home ❑Other (Explain in Attachment)
5. Nature of wastewater: 100 % 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)? El Yes ® No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow a'b
No. of Units
Flow
2 Bedroom Residence
240 gal/day
8
1920 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
1920 GPD
a See 15A NCAC 02T .0114(b), (d)(e)(1) and (e,)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 1920 GPD (per 15A NCAC 02T .0114)
➢ 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 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
6
167
PVC
➢ Section II & III of the NIDC 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 requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: 0Longitude: - °
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);
➢ 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 flow 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
El Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ 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.
➢ 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.
FORM: FTA 04-16 Page 3 of 5

IX. 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_030.5(f) contains minimum separations that shall he nrovided for sewer w0ems-
Yes [_1 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
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
"Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
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 see item IX.2
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
An building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interce for drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f) or g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) Z Yes E]No
➢ See the 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 all setbacks found in the river basin rules per 15A NCAC 02B .0200? Z Yes [:]No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? El Yes [:]No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)6) (additional permits/certifications)?
Yes [:1 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, stormwater 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.
,10�es No
➢ 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:
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, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is required prior to submittal of the Fast Track Application and supporting
darnmentc_
2. Professional Engineer's Certification:
i, Charles Cazier
(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 Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, Kevin Pfirman (Member -Manager)
...........................
�ti�.........; ..................
- a ��
tv -
10
fa
10
a
attest that thi a ation for
(Signature Authority's name & title from Application Item I.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, Kcertification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine riot to exceedFk0,000 a�.�,j,�as civil penalties up to $25,000 per violation.
Signature:
FORM: FTA 04-16 Page 5 of 5

4
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Kevin Pfirman Architect, PLLC
Project Name for which flow is being requested: LaRue Townhomes
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: M'Kean Maffitt (Southside) WWTP
b. WWTP Facility Permit #: NPDES NC 0023973
AllfZowsare inMGD
c. WWTP facility's permitted flow
12.000
d. Estimated obligated flow not yet tributary to the WWTP
2.022
e. WWTP facility's actual avg. flow
8.044
f. Total flow for this specific request
0.001920
g. Total actual and obligated flows to the facility
10.068
h. Percent of permitted flow used
83.9%
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Obligated,
Pump Average Daily
Approx.
Not Yet
Total Current
Station Firm Flow* *
Current Avg.
Tributary
Flow Plus
(Name or Capacity, * (Firm / p f),
Daily Flow,
Daily Flow,
Obligated
Available
Number) MGD MGD
MGD
MGD
Flow
Capacity*
14 1 1 I4ti 4 5IR
4?q
n M?
4R4
? n54
* 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): Cape Fear Public Utility Authority
Downstream Permit Number: Not Available
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Matthew Tribett, CFPUA Eng. Mgr 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_thisp_oj_e-ct_is not--antic-ip- ated to----- ---- - -- ---
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation of
the planned improvements identified in the planning assessment where applicable. This analysis
has been performed in accordance with local established policies and procedures using the best
available data. This certification applies to those items listed above in Sections I and II plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Signing Official Signature
rtr!) /
"'�b 's3
ate
Page 2of6
FTSE 04-16

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STATE OF NORTH CAROLINA
COUNTY OF New Hanover
Permit No. W 600 q 0 003-IO
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1
ce -L --- /1 I I
(dl) and entered into this day of
by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
Kevin Pfirman Architect, P11c. , 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 New Hanover County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as LaRue Townhomes (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, the (Unit Owners' Association) (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the State
of North Carolina, for the purpose, among others, of handling the property, affairs and business of the
Development; of operating, maintaining, re -constructing and repairing the common elements of the lands
and improvements subject to unit ownership, including the Disposal System; and of collecting dues and
assessments to provide funds for such operation, maintenance, re -construction and repair.
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
p
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable provisions rovisions and law.
p
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.

4. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Y
Disposal System and
p
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 - riorit for
expend-itures-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
p Y
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
P
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 facilityprovided b city,
p Y any Y,
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
g
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
p
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 Count 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 e thdulyauthorized
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
Linda Culpepper
Interim Director, Division of Water Resources
(Date)
Kevin Pfirivan Architect, Pllc.
Name4fDEVI&OPER
By:
(Sign
Kevin Pfirman (Member -Manager)
Print Name a d Title �
ASO
(Date)
FORM: DEV 11-17 Page 2 of 2