WQ0040487_Application (FTSE)_20181206

DESIGN
RESOURCE
GROUP
TRANSMITTAL
Date: November 28, 2018
To Mooresville Regional Office Water Quality Section
Attention: Barry Love
610 East Center Avenue
Mooresville, North Carolina 28115
Reference: Private Sewer Submittal
Job#: 479-006 West Tyvola
Chris,
IECE IVEDINCDENRIDWI?
NUV 2r 9 2018
WQROS
MOORESVILLE REGIONAL OFFICE
Please find attached the following for the Parkwood Residences watermain relocation
Quantity
Date
Description
1
11/28/2018
Original application
1
11/28/2018
Copy of application
1
11/28/2018
Business Registration
1
11/28/2018
Charlotte Water Flow Acceptance letter
1
11/28/2018
USGS Map
1
11/28/2018
Basin Map
1
11/28/2018
Street Map
1
11/28/2018
Check
If you have any questions or require any additional information, please let me know. You can contact me
directly at 704.343.0608 x 319.
Sincerely,
DESIGN SO RCE G OUP, PA
Kent Keplinger
Associate
2459 Wilkinson Boulevard, Suite 200
Charlotte, NC 28208
704.343.0608
www.drgrp.com
1

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources '� /[ FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: 40 "T u (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Laurel Street Residential LLC (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: Lee Cochran per 15A NCAC 02T .0106(b) RECEIVEDINCDENRIDWR
Title: Vice President
4. Applicant's mailing address: 511 East Boulevard P,wt 2 s 2018
City: Charlotte State: NC Zip: 28203-_ WOROS
5. Applicant's contact information: MOORESVILLE REGIONAL OFFICE
Phone number: (7N) 561-5234 Email Address: [e-mail]
Il. PROJECT INFORMATION:
1. Project name: West Tvvola
2. Application/Project status: ® Proposed (New Permit) ❑ 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 number: W000_
3. County where project is located: Mecklenburg
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.182279° Longitude: -80.915215°
5. Parcel ID (if applicable): 14313301
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: Matthew Mobley License Number: 034267
Finn: Design Resource Group
Mailing address: 2459 Wilkinson Boulevard, Suite 200
City: Charlotte State: NC Zip: 28208 -
Phone number: [phone] Email Address: Matthew@drgm coin
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: McAlpine Creek Permit Number: NCO024970
Owner Name: Charlotte Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. 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 Aereement (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: 100 % Domestic/Commercial % Commercial
_ % Industrial (See 15A NCAC 02T.0 103(20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a 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 02T.0114.0
Daily Design Flow ° ^
No. of Units
Flow
Apartments
135 gal/Units
200
27,000 GPD
Pool
10 gal/person
100
1,000 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/GPD
Total
28,000 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: _ GPD (per 15A NCAC 02T.01 14)
➢ 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
8 808 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
Vlll. 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 pmmp(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(0):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (g)
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be Drovided for sewer systems:
® 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
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
"Any private or public water supply source, including any wells, WS -1 waters of Class I or
Class 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 sloe 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(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) ® Yes ❑ No ❑ 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/A
➢ This would include Trout Buffered Streams per 15A NCAC 26.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ 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 ❑ 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, stonmwater 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/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 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 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 su000rtine documents.
2. Professional Engineer's Certification:
name frolh Application Item 111.1.)
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 143-215.68, 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):
name & title from Application Item 1.3.)
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 remmed to me as
incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: f/liy "e� Date: 11•tza.I&
FORM: FTA 04-16 Page 5 of 5

CHARLOTTE
W4)TE R
May 29, 2018
Mr. Matthew Mobley
Design Resource Group, PA
2459 Wilkinson Boulevard
Suite 200
Charlotte, NC 28208
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
WEST TYVOLA
WEST TYVOLA ROAD, CHARLOTTE NC
CLTWATER TRACKING# 2018709
After an analysis of the sanitary sewer associated with the proposed design of project, West Tyvola,
it was determined that there is sufficient capacity to accommodate the proposed sewer flow of
28,000 gallons per day (200 apartment units x 135 gpd/unit; 100 person pool x 10 gpd/person) at the
connection point(s) indicated on the submitted utility 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 DEQ 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 anpronriate authorization to construct permits are not obtained construction has not started
within (2) 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 flow acceptance
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].
Sincerely,
Barbara Gross
Engineering Assistant
Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 chai I ottewatei.oig
Operated by the City of Charlotte

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Design Resource Group, PA
Project Name for which flow is being requested: West Tyvola
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: McAlpine Creek, Irwin Creek, Sugar Creek
b. WWTP Facility Permit #: NC0024970, NC0024945, NCO024937
All flows are in MCD
c. WWTP facility's permitted flow 99.0
d. Estimated obligated flow not yet tributary to the WWTP 11_25
e. WWTP facility's actual avg. flow 65_0
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
0.028
76_25
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) (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 / pt),
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 Bow 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 (pi) 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): Irwin Creek Outfall (1976)
Downstream Permit Number: Unknown
Page 1 of 2
FTSE 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 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
5/21/2018
Date
Page 2 of 2
FTSE 04-16

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7P LIMITED LIABILITY COMPANY ANNUAL REPORT
1012017
NAME OF LIMITED LIABILITY COMPANY: LAUREL STREET RESIDENTIAL, LLC
SECRETARY OF STATE ID NUMBER: 1202930 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2018
SECTION A:
1. NAME OF REGISTERED AGENT: Registered Agent Solutions, Inc.
2. SIGNATURE OF THE NEW REGISTERED AGENT:
3. REGISTERED OFFICE STREET ADDRESS & COUNTY
176 Mine Lake Court, Suite 100
Raleigh, NC 27615-6417 Wake County
SECTION B: PRINCIPAL OFFICE INFORMATION
- Filed Annual Report
201810008545
0/2018 04:47
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
4. REGISTERED OFFICE MAILING ADDRESS
176 Mine Lake Court, Suite 100
Raleigh, NC 27615-6417
1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate Development
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS & COUNTY
511 East Boulevard
Charlotte, NC 28203-5109 Mecklenburg County
5. PRINCIPAL OFFICE MAILING ADDRESS
511 East Boulevard
Charlotte, NC 28203-5109
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Laurel Street Manager, LLC NAME: Laurel Street Manager, LLC NAME: RSE Laurel Investors, LLC
TITLE: Manager TITLE: Member
ADDRESS:
511 East Boulevard
ADDRESS:
511 East Boulevard
Charlotte, NC 28203-5109 Charlotte, NC 28203-5109
TITLE: Member
ADDRESS:
200 Public Square, Suite 2050
Cleveland, OH 44114
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Laurel Street Manager, LLC, by Dionne Nelson Authorized Person 4/10/2018
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Laurel Street Manager, LLC, by Dionne Nelson Authorized Person Manager
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Boz 29525, Raleigh, NC 27626-0525

North Carolina Secretary of State Search Results
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Pre -Populated Annual Report form
Limited Liability Company
Legal, Name
LAUREL STREET RESIDENTIAL, LLC
Information
Sosld: 1202930
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 5/10/2011
Registered Agent: Registered Agent Solutions, Inc.
Addresses
Reg Office
176 Mine Lake Court, Suite 100
Raleigh, NC 27615-6417
Principal Office
511 East Boulevard
Charlotte, NC 28203-5109
Company Officials
Reg Mailing
176 Mine Lake Court, Suite 100
Raleigh, NC 27615-6417
Mailing
511 East Boulevard
Charlotte, NC 28203-5109
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Laurel Street Manager, LLC
511 East Boulevard
Charlotte NC 28203-5109
Member
Laurel Street Manager, LLC
511 East Boulevard
Charlotte NC 28203-5109
Member
RSE Laurel Investors, LLC
200 Public Square, Suite 2050
Cleveland OH 44114
https://w\vw.sosnc.gov/online_services/search/Business_Registration_Results 11/30/2018

Central Files: APS _ SWP _
12/6/2018
Permit Number WQ0040487
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
barry.love
Coastal SWRuIe
Permitted Flow
28,000
Facility
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
West Tyvola Minor Mooresville
Location Address County
Mecklenburg
Facility Contact Affiliation
Owner
Owner Name Owner Type
Laurel Street Residential LLC Non -Government
Owner Affiliation
Lee Cochran
511 East Blvd
Dates/Events Charlotte NC 28203
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/5/2018 11 /29/2018 12/6/2018 12/6/2018
Regulated Activities Requested /Received Events
Apartment complex Additional information requested
Wastewater collection Additional information received
Outfall
Waterbody Name Streamindex Number Current Class Subbasin