WQ0040582_Application (FTSE)_20190204

.�. TRANSMITTAL
ORSBORN ENGINEERING GROUP
610 EAST MOREHEAD STREET, SUITE 106 Project: 17027
CHARLOTTE, NORTH CAROLINA 28202 Carmel Road Mixed Use Development
PHONE [phone]
FAx [phone]
1a ECEI VEDIN CUE N RIDWF?
To: NCDEQ—Fqtf 7446k 4erini4fra Date: 01.14.2019 JAN 17 2019
610 E.Center Avenue 1 WORDS
Mooresville, NC 28115 Sent Via: Fed Ex MOORESVILLE REGIONAL OFFICE
704-663-1699
City. Date Description
1 01.14.19 Cover Letter
1 01.14.19 Check-Application Fee
2 01.14.19 Fast Track Application
1 01.14.19 Site Map
F-_
® For Approval ❑ For Review and Comment ❑ Returned for Corrections
❑ For Your Use ❑ Approved as Submitted ❑ Returned After Review
❑ As Requested ❑ Approved as Noted ❑ Resubmit for Approval
Call if you need anything else.
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Copied To: Signed:
r
Mackenzie McCool,El

�._ RECEIVED/NCDENRIDWR
ORSBORN ENGINEERING GROUP JAN 17 2019
Carmel Road Mixed Use Development wOROS
Charlotte, North Carolina MOORESVILLE RFGIONAL OFFICE
Project Narrative
January 10, 2019
This site has an existing building with supporting parking and storm infrastructure. A
portion of the existing building will be demolished, and 2 new buildings are proposed.
All three buildings will be served by a proposed 8" private sanitary sewer which connects
to the existing 8" public sewer along Carmel Road.
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Page 1
610 EAST MOREHEAD STREET, SUITE 106 CHARLOTTE, NC 28202 P) 704,749.1432 F)704.749.1433

State of North Carolina
DW 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
fy ((��nn RECEIVEDINCDENRIDWR
Application Number: V.�D✓`Etobecomp�e�edbyDWR)
All items must be completed or the application will be returned JAN 17 2019
1. APPLICANT INFORMATION: WQROS
1. Applicant's name: Carmel Road LLC(company,municipality,HOA,utility,etc.) MOORESVILLF.REGIONAL OFFICE
2. Applicant type: ❑Individual ®Corporation ❑General Partnership ❑Privately-Owned Public Utility
❑Federal ❑ State/County ❑Municipal ❑Other
3. Signature authority's name:Edward Judson McAdams per 15A NCAC 02T.0I06(b)
Title:Managing Member
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4. Applicant's mailing address:PO Box 35193
City:Charlotte State:NC Zip:28235-
5. Applicant's contact information:
Phone number:[phone] Email Address:iud&&,,redpart.com
II. PROJECT INFORMATION:
I. Project name:Carmel Road Mixed Use Development
2. Application/Project status: ®Proposed(New Permit) ❑Existing Permit/Project
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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:Mecklenburg
4. Approximate Coordinates(Decimal Degrees):Latitude: 35.091°Longitude:-80.846.
5. Parcel ID(if applicable): 209-24-145
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Jeff Orsborn License Number:028786
Firm:Orsborn Engineering Group
Mailing address:610 Easet Morehead Street,Suite 106
City:Charlotte State:NC Zip:28202-
Phone number:[phone] Email Address:jorsbornnorsborn-eng.com
IV. WASTEWATER TREATMENT FACILITY(W WTF)INFORMATION:
1. Facility Name: McAlpine Creek,Irwin Creek.Sugar Creek Permit Number:NC0024970,NC0024945,NCO024937
Owner Name: Charlotte Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION(if different than WWTF):
1. Permit Number(s): WQUnkown Downstream(Receiving)Sewer Size: 8 inch I
System Wide Collection System Permit Number(s)(if applicable):WQCS_
Owner Name(s):Charlotte Water
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 ®N/A
2. If the Applicant is a Developer of lots to be sold,has a Developer's Operational Agreement(FORM:DEVI 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: 0%Domestic/Commercial 100%Commercial
0%Industrial(See 15A NCAC 02T.0103(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: j
Establishment Type(see 021.0114(fl) Daily Design Flow 1,b No.of Units Flow
Restaurant 40 gal/seat 150 6,000 GPD
Self-Storage I gal/unit 767 767 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Tota( 6,767 GPD
a See 15A NCAC 02T.0114(b),(d),(e)(1)and(e)(21 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.0114] shall
be determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 6 767 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:ETA 04-16 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305&MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8 516 PVC
➢ Section 11&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 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(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f)&(g) ®Yes []No
➢ 15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
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 li 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(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 webnage
➢ If noncompliance with 02T.0305(f)or(g).see Section X of this application
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2. Does the project comply with separation requirements for wetlands?(50 feet of separation) ®Yes ❑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? ®Yes ❑No
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ®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 ❑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
➢ 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
documents.
2. Professional Engineer's Certification:
I, Jeffery C. Orsborn attest that this application for
(Professional Engineer's name from Application Item 111.1.)
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 misdemeanor, which may
include a fine not to exceed $10,000,as well as civil penalties up to$25,000 per violation. -
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North Carolina Professional Engineer's seal,signature,and (late:
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3. Applicant's Certification per 15A NCAC 02T.0106(b):
1, Edward Judson McAdams, Managing Member attest that this application 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, t
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.6B,any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may _
include a fine not to exceed$10,000 as well as civil penalties up to$25,000 per violation.
Signature: , Date:
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FORM:FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
,ON R
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Carmel Road, LLC
Project Name for which flow is being requested: Carmel Road Mixed Use Development
More than one FTSE may be required for a single project if the owner of the WWTP is not responsihle for all pump
.stations along the route of the proposed wastewater flair.
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#: NCo024970,Neo024945, N00024937
All flows are in MGD
c. WWTP facility's permitted flow 99.0
d. Estimated obligated flow not yet tributary to the WWTP 12.746
e. WWTP facility's actual avg. flow 64.333
f. Total flow for this specific request 0.007
g. Total actual and obligated flows to the facility 77.086
h. Percent of permitted flow used 77.9 i
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 Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Ftow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm/pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow,MGD MGD Flow Capacity***
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The Firm Capacity(design flow) 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,per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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 1 of 6
FTSE 10-18

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 certifies that the receiving
collection system or treatment works has adequate capacity to transport and treat the proposed new
wastewater.
�(2N--ram 11/29/2018
Sighing Official Signature Date
Cheif Engineer
Title of Signing Official
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Page 2 of 6
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DATE: 01/11/2019 USGS QUAD MAP EXHIBIT
SCALE: 1"=300' FOR G��-�-
DRAWN BY: MLM CARMEL ROAD MIXED USE DEVELOPMENT
APPROVED BY: )CO
A 3 CHARLOTTE, NORTH CAROLINA ORSBORN ENGINEERING GROUP
610 EAST MOREHEAD STREET,SUITE 106
CHARLOTTE,NC 28202
P)704-749 4 3 2.E)704-)49 '433

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Limited Liability Company
Legal Name
Carmel Road, LLC
Information
Sosld: 0867122
Status: Current-Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 9/18/2006
Registered Agent: Real Estate Development Partners, LLC
Addresses
Mailing Principal Office Reg Office Reg Mailing
711 Central Ave 711 Central Ave 711 Central Ave PO Box 35193
Charlotte, NC 28204 Charlotte, NC 28204 Charlotte, NC 28204 Charlotte, NC 28235
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Member Manager Member
Hall Johnston Heirs, LLC Douglass A Hammond Orange Development NC, LLC
PO Box 36469 711 Central Ave 301 E 7th St Ste 202
Charlotte NC 28202 Charlotte NC 28204-2037 Charlotte NC 28202
Member
Real Estate Development Partners, LLC
PO Box 35193
Charlotte NC 28235
https://www.sosne.gov/online_services/search/Business_Registration_Restilts 1/19/2019