WQ0040468_Application (FTSE)_20181203

RECEIVEDINCOENRIDWR
NOV 2 6 2018
WOROS
fa
y,� "� MOORESVILLE REGIONAL OFFICE
LwidDesign_ urban design planning civil engineering branding landscape architecture
November 16, 2018
Mooresville Regional Office
Water Quality Section
610 E. Center Ave.
Mooresville, NC 28301
RE: West Sugar Creek Affordable
LandDesign PN: 1017333
Dear Sir/Madam,
NOV 212018
WOROS
MOORESVILLE REGI(
Crosland Southeast LLC, is in the process of developing and constructing 180 apartment units.
It will be served by 938 LF of 8" PVC. We are estimating 24,550 gallons per day of gravity
sewage. Attached is a letter from Charlotte Water agreeing to accept our flow to the Sugar
Creek WWTP. Also attached are our FTA 04-16 application and a check for $480.
We respectfully request your review and welcome any questions or comments. Thank you for
your assistance with this project. Please feel free to contact me directly via telephone at
704.333.0325 or email at [e-mail] should you have any questions and/or
comments.
Respectfully Submitted,
Nikki Curley, EI
LandDesign, Inc.
PO Box 36959 Charlotte, NC 28236.6959 223 North Graham Street Charlotte, NC 28202 V; 704.333.0325 F: 704.376.8235
N:\_20171017333\Docs\Permitting\Permit Forms\Private Sewer\NCDENR Fast Track Letter.doc

State of North Carolina
Department of Environmental Quality
Division of Water Resources
ISA NCAC 02T.0300 —FAST TRAGIC SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: WboVTy`la ua be completed by DwR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: C4 Investments LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name: Bany James per 15A NCAC 02T .0106(b)
Title: Partner
4. Applicant's mailing address: 121 West Trade Street Suite 2550
City: Charlotte State: NC Zip: 28202-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
❑ Privately -Owned Public Utility
❑ Other
RECEIVEDINCDENRIDWR
icV 2 6 2018
WOROS
MOORESVfLLE REGIONAL OFFICE
11. PROJECT INFORMATION:
I. Project name: West Suear Creek Affordable
2. Application/Project status: ® Proposed (New Permit) ❑ Existing PermiUProject
If a modification, provide the existing permit number: W000 and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Mecklenbure
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.273123' Longitude: -80.787055'
5. Parcel ID (if applicable): 08906439
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
I. Professional Engineer: Frank McMahan License Number: 037773
Firm: LandDesien Inc
Mailing address: 223 N Graham Street
City: Charlotte State: NC Zip: 28202•_
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Sugar Creek Wastewater Treatment Plant Permit Number: NCO024937
Owner Name:
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s):
FORM: FTA 04-16 Page I 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 ®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 ®N/A
3. If the Applicant is a Home/Property Owners' Association has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
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
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : % Domestic/Commercial % Commercial
_ % Industrial (See 15A NCAC 02T.0103(20)
L ---)-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 cony of flow reduction anoroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114())
Daily Design Flow ° °
No. of Units
Flow
Residential Dwelling Units
135 gal/day
180
24,300 GPD
Office/Leasing
25 gal/day/person
10
250 GPD
gaV
GPD
gal/
GPD
gaV
GPD
gal/
GPD
Total
24,550 GPD
a See 15A NCAC 02T.01 14(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.01 14(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: 24550 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
8 938 PVC
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope 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: 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):
➢ 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
❑ 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(1)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (e) N Yes ❑ No
D 1 SA NCAC 02T.0405(f) contnins minimum senarations that shall be provided for sewer systems:
Setback Parameter*
Se aration 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
Any 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 interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(0 cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaee
➢ If noncompliance with 02T.0305(f) or (e). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No N N/A
➢ 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 setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No N N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes N No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Pemtittine Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? N 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, 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.
❑ Yes ❑ No N N/A
➢ 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 atleast 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 documents
2. Professional Engineer's Certification:
;5toAw/� ;:r. /
(Professional Engineer's name from Application Item III. I.)
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 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. A
North Carolina Professional Engineer's seal, signature, and date:
037773
............ ..t1.f,l'I11Illi.,.................. ........ 16
3. Applicant's Certification per 15.E NCAC 02T
that this application for
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 143-215.613 any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: i, L.,�
FORM: FTA 04-16 Page 5 of 5

CHARLOTTE
WT E R
April 5, 2018
Mr. Nikki Curley
LandDesign, Inc.
223 N. Graham St.
Charlotte, NC 28202
SUBJECT: WATER AND SANITARY SEWER FLOW ACCEPTANCE
WEST SUGAR CREEK AFFORDABLE
7983 W. SUGAR CREEK RD, CHARLOTTE NC
CLTWATER TRACKING# 2018469
After an analysis of the sanitary sewer system associated with the proposed design of project
2018469, West Sugar Creek Affordable, it was determined that there is sufficient capacity to
accommodate the proposed sewer flow of 24,550 gallons per day (180 units x 135 gal/unit; 10
employees x 25 gal/emp) at the connection point(s) indicated on the submitted utility plan for
transmission to the Sugar Creek Wastewater Treatment Plant; NPDES permit number NC0024937,
for treatment. This acceptance of flow is based on the existing capacity of the designated publicly
owned treatments works. Please see attached NC DEQ flow tracking form.
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 NC DENR. However,
CLTWater cannot guarantee a constant pressure or quality of flow.
CLTWater does not expect any of the above conditions to preclude water or sewer service to the
subject site. However, the applicant should understand that due to the involvement of other agencies
and continuing growth of the water and sewer system, the ability to provide service for future
projects cannot be guaranteed nor reserved. Connection to the CLTWater and sewer system is
accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct private water or
sewer systems, as the appropriate local or State permits are required prior to construction. If the
approval shall be rescinded and a new flow acceptance request must be made. If you have any
questions, please do not hesitate to contact me at [phone] or Alan Gaines [phone].
Sincerely,
Cfwercdafy+c VaWW4
Gwendolyn Banner
Engineering Assistant
Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 rharlottewater.org
.!k operated by the City of Charlotte

State of North Carolina
j Department of Environmental Quality
p , Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Landbesign, Inc.
Project Name for which flow is being requested: west: Sugar Creek Affordable
More than one FTSE Wray 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: McAlpine Creek, Irwin Creek, Sugar Creek
b. WWTP Facility Permit #: NC0024970, NC0024945, NC0024937
Ali flows are in MGD
c. WWTP facility's permitted flow 99,0
d. Estimated obligated flow not yet tributary to the WWTP 11.410
e. WWTP facility's actual avg. flow 64.791
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
0,025
76.226
77.0%
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)
(F)=(A-D)
Design
Obligated,
Pump Average Daily Approx.
Not Yet
Total Current
Station Firm Flow** Current Avg.
Tributary
Flow Plus
(Name or Capacity, * (Firm / pf), Daily Flow,
Daily Flow,
Obligated
Available
Number) MGD MGD MGD
MGD
Flow
Capacity***
* 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): unknown
Downstream Permit Number: unknown
Page I of 2
FTSF, 04-16

III. Certification Statement:
I Keri Cantrell certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation
of the planned improvements identified in the planning assessment where applicable. This
analysis has been performed in accordance with local established policies and procedures using
the best available data. This certification applies to those item's 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.
Page 2 of 2
FTSE 04-16

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North Carolina Secretary of State Search Results
Page 1 o[' I
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online
Add Entity to My Email Notification List • View Filings • Print an Amended a Annual Report form • Print a
Pre -Populated Annual Report form
Limited Liability Company
Legal Name
C4 Investments, LLC
Information
Sosld: 1292867
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 12/19/2012
Registered Agent: Barnes, Catherine A
Addresses
Mailing
121 West Trade Street Ste 2550
Charlotte, NC 28202-2898
Reg Mailing
525 North Tyon Street Ste 700
Charlotte, NC 28202
Company Officials
Principal Office
121 West Trade Street Ste 2550
Charlotte, NC 28202-2898
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Peter B Pappas
3913 Silver Bell Drive
Manager
Timothy B Sittema
3824 Pomfret Lane
Charlotte NC 28244 Charlotte NC 28211
Reg Office
525 North Tyon Street Ste 700
Charlotte, NC 28202
https:/h"vw.sosnc.gov/online_ser-vices/search/Business_Registration_IZesults 11/26/2018

Central Files: APS _ SWP _
12/3/2018
Permit Number WQ0040468
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
barry.love
Coastal SWRuIe
Permitted Flow
24,550
Facility
Facility Name
West Sugar Creek Affordable
Location Address
Owner
Owner Name
C4 Investments LLC
Dates/Events
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Mooresville
County
Mecklenburg
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
Barry James
121 W Trade St
Charlotte NC 28202
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/3/2018 11 /26/2018 12/3/2018 12/3/2018
Regulated Activities Requested /Received Events
Apartment complex Additional information requested
Wastewater collection Additional information received
Outfall
Waterbody Name Streamindex Number Current Class Subbasin