Loading...
HomeMy WebLinkAboutWQ0040162_Application_20190621State of North Carolina DWRDepartment 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: V o he comptod by DAIR) ReCrzlVE0/NC0ENR/t)WR All items must he coniLflcted or the application rill he returned MAY 2 1 ?-'Ip 1 L APPLICANT INFORMATION: WQROS 1. Applicant's name: Evolve Aquistions, LL( (conipa un . allity, A, utilit, etc.) MOORESVILLE REGIONAL OFFICE P 2. Applicant type: [I Individual ED Corporat* n n Partne P ❑ Mvately-Owned Public Utility -n D Federal 0 s,,,,,:riklp 7[J�Vq06J?jA0J ❑ Other 3. Signature authority's name: Title: L4m000r 4. Applicant's mailing address: 2918-A Martinsville Road City- Greensboro State: NC Zip: v4ff- 5. Applicant's contact information: Phone number: (DJ6 IL9-9991 Email Address: mike&yolvecos.gorn 11. PROJECT INFORMATION: p,cr1JABK--AL02T.0I0k W 1. Project name: Rivercross Apartments Off Site Roadway Improvements 2. Applicatiort/Project status: El Proposed (New Permit) [0 Existing Pennit/Project I f a modification, provide the existing permit number: WQ00_4j2_162 and issued date: 07124/20 18 If new construction but part of a master plan, provide the existing permit number; WQ00- 3. County where project is located: Lincoln 4. Approximate Coordinates (Decimal Degrees): Latitude: 34.467997' Longitude: -11.995463' 5, Parcel ID (if applicable): 4602495449 & 4603508046 (or Parcel ID to closest downstream sewer) Ill. CONSULTANT INFORMATION: 1. Professional Engineer: Barry Fay License Number. 33046 Firm: American Engineering Associates Mailing address: 8008 CgWarate, Center Drive-, Suite l—10 City: ChKlotte State: NC Zip: 28226- Phone number. (L04J 175-�2438 Email Address: bhjX@american-ca.M IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1. Facility Name: Killian Creek WWTP Permit Number-. N_C9918_7272 Owner Name: Lincoln Coun V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF): I - Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 8 inch System Wide Collection System Permit Number(g) fif aWlicable) WQCS00149 Owner Name(s): Lincoln CouW FORM: FTA 04-16 Page I of 5 V1. GENERAL REQUIRFMENTS I. If the Applicant is a Privately -Owned Public Utility, has aCertificate of Public Convenience and Necessity been attached? 0Yes []No ON/A 2. If the Applicant is a Developer of lot-, to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached? OYes nNo ®N/A 3. If the Applicant is a Home/ProKr_tv Owners' Ass ggiltion . has an ODerational AgLeetnent(FORM: 140A) been attached? 4. Origin of wastewater: (check all that apply): 0 Residential Owned El Retail (stores, centers, malls) El Car Wash 0 Residential Leased 0 Retail with food preparation/service ❑ Hotel and/or Motels 0 School / preschool I day care 0 Medical / dental / veterinary facilities Swimming Pool /Clubhouse 0 Food and drink facilities 0 Church Q Swimming Pool/Filter Backwash 0 Businesses I offices / factories 0 Nursing [ionic C] Other (Explain in Attachment) 5. Nature of wastewater: 1-00—'Yo Domestic/Commercial 210 Commercial % Industrial laIs there a Pretreatment Program in effect? [I Yes [I No 6. Has a flow reduction been approved under I SA NCAC 021 ".Q 114 t '? DYcs 0 No If xes, provide a copy of flow reduction approval letter 7. Summarize wastewater generated by project: Establishment Type (see 011.01 14 f)) Daily Design Flow No. of Units Flow gal/ GPD trail GPD golf/ GPD gal/ GPIJ gal/ GPD gal/ GPD caul GPD a See 15A NCAC 02T.01 14(b). (di. (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 cast of the Atlantic Intracoastal Watenvkv 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.01 141 shall be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data. 8. Wastewater generated by project: gGPD (per 15A NCAC 02-TO_l _IJ4 Y Do not include future flows or previously permitted allocations If permitted flow is zero. indicate why: 0 Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line 0 Flow has already been allocated in Permit Number: El Rehabilitation or replacement of existing sewer -with no new flow expected [I Other (Explain): FORM: FTA 04-16 Page 2 of 5 VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 01 A3 & MW (Gravity Sewers) 1. Summarize gravity sewer to be permitted: Size (inches) Length (feet) Material 1,182 PVC Section 11 do III of the MDC for Permitting of Gravity Sewers contains infiannation related to design criteria > Section Ill contains information related to minimum slopes for gravity sewers) ➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC VIII. PUMP STATION DESIGN CRITERIA (If Applicable) --QZIQaO 5 & MDC (Pump Stations/Force Mains) COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT I . 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. Sumtnarize 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 - I SA NCAC 02T.0305(h)(I )(B)i > 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 - I SA NCAC 02T .0305(h)(1)(C) or ❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T.0305(hX I XQ: 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 timeftarnes, shall be provided in the case of a multiple station power outage. FORM: rTA 04-16 Page 3 of 5 IX. SETBACKS & SEPARATIONS - (028.0200 8: 15A NCAC 02T.0305(t)): 1. Does the project comply with all separations found in I SA NCAC 02T.0305(D & (R) SYes E] No > ISANCAC 02T.0305(ficontains minimum %enlrationethit Oiqll � nrmtjdedfor Selyer cvetome- Setback Parameter* Separation Re uired Storm sewers and other utilities not listed below (vertical) 24 inches Water mains (vertical -water over sewer includin lit benched trenches 18 inches Water mains (horizontal) 101 ect 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 11 imR2unded reservoirs used as a source of drinking water 100 feet "Waters classified WS (except WS-1 or WS-V), 13, SA, ORW, HQW, or SB from normal high water for 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 To slope of embankment or cuts of 2 feet or more vertical height 10 feet Drains systems and interceptor drains 5 feet AU swimming pools 10 feet Final earth grade (vertical) 36 inches IiA NCAC 02T.0305(g)contains alternatives where separations in Q27f.0,3�IJ 0 t) cannot be achieved. > "Stream classifications can be identified using the Division's NLSurf -cW er J&ssific�fonsv�bc > If noncompliance with 02T.0305(f) or (9). see Section X of this application 2. Does the project comply with separation requirements for wetlands'? (50 feet of separation) 0 Yes 0 No 0 N/A > See the Division's drib 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 �2B �(Y? 2 Yes El No El NA � This would include Trout Buffered Streams per UA NCAC' MOW 4. Does the project require coverage/authorization under 404 Nationwide or El Yes 19 No individual permits or 401 Water Quality Certifications? > Information can be obtained from the J%L,Rgfil aitIL, -ENch �SLPKUML_ R _ S. Does project comply with SA NCAC 02'1*.QJJ)5 (additional permits/certifications)? 0 Yes [I No Per 15_AN_f,,' �,2 5 directly related environmental permits or certification applications are being prepared, have been applied for, or have been obtained. Issuance orthis 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 amtocting surface waters, siphon, or sewer positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer. [I Yes 0 No [] N/A > If yes, include an attachment with details for each fine, 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 Pace .1 of 5 X. CERTIFICATIONS: Does the submitted system comply with I SA NCAC 021'. the Minimum Msign Criteria for file Permitting of Pump Stations and Force Mains (latest version), and the Gravity Sewer Minimum teshin Criteria (latest version) as applicable? ® Yes ❑ No If No, complete and submit the Variance/Altemative Design Request application (VA DC 10-14) and supporting docwments for review. Approval of the request is required nrlor to submittal of the Fast Track Annlication and sunportin¢ documents 2. Professional Engineers Certification: (Professional Engineer's natue from Application Item Ill.1.) that this application for has been reviewed by me and is accurate,ieom(plete 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 Servers (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 he consistent with the proposed design. NOTE — in accordance with General Statutes 143-215.6A and 143.215.613, any person who knowingly stakes 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 510,000, as well as civil penalties up to 525,000 per violation_ p*narr" North Carolina Professional Engineer's seal, signature, and date: ,¢l` ��'' 4881d 33046 +y . VVQINBEN. •....• 3. Applicant's Ceniification per 15A NCAC 02T .0106(b): 1, M (C kCtt Q' "' _ \/� 1 V1, -'KCX OIV_ e _.attest that this application for (Signature Authority's nameA & title from Application ltetI.3.) J 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 tutderstand that any discharge of wastewater from this non - discharge system to surface waters or the land will result in an immediate enforcement action that stay 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 i43-215fi. A and 41215.6B any person who knowingly makes any raise statement, mpmsentation, or certification in any application package shall be guilty of u Class 2 miisdemeanor, which may include a fine not to e4irc'), Sigt00jas well as civil penalties up to S25,000 per violation. Signature: _ ( Date: _-_---,-_-- FORM: FTA 04-16 Page 5 of 5 • File an Annual Report/Amend an Annual Report • Upload a PDF Filing - Order Document Online • Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form Limited Liability Company Legal Name Evolve Acquisition, LLC Information Sosld: 1461880 Status: Current -Active Annual Report Status: Current Citizenship: Domestic Date Formed: 8/4/2015 Registered Agent: Winstead, Michael P, Jr Addresses Mailing 2918 A martinsville road Greensboro, NC 27408 Reg Mailing 2918 A martinsville road Greensboro, NC 27408 Company Officials Principal Office 2918 A martinsville road Greensboro, NC 27408 Reg Office 2918 A martinsville road Greensboro, NC 27408 All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20. member/manager Michael P Winstead , Jr 2918 Martinsville Rd Ste A Greensboro NC 27408 You created this PDF from an application that is not licensed to print to novaPDF printer (http://www.novapdf.com) USGS Topographic Map Portion of HICKS CROSSROADS QUADRANGLE — 7.5 Minute Series STATE OF NORTH CAROLINA COUNTY OF Permit No. DEVELOPER'S OEERATIONAL AGREEMENT This AGREEMENT made pursuant to G.S. 143-215.1 (dl) and entered into this —16—day of May, 2019 , by and between the North Carolina Environmental Management Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and Evolve Acquistions, LLC a corporation/general partnership registered/licensed to do business in the State of North Carolina, hereinafter known as the DEVELOPER. WITNESSETH: I The DEVELOPER is the owner of the certain lands lying in Lincoln --County, upon which it is erecting and will erect dwelling units and other improvements, said development to be known as_(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 Dcclaration), 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 riling 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, rc-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: I The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate and maintain such systems and facilities in accordance with appl icab1c permit provisions and law. 2. The DFVELOPER 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 pen -nit 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. .1. 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, *re_%"X S. 11%111 r I 1 117 1 -r.,% 4. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and appurtenances thereto are part of the common elements and shall thereafter be properly maintained and operated in conformity with law and the provisions of the permit for construction, operation, repair, and maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater treatment, collection and disposal system as a common element which will receive the highest priority for expenditures 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 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 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 facility provided by any city, town, village, county, water and sewer authorities, or other unit of government shall hereinafter become available to serve the Development, the 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 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 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 or 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 County(ics) 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 WHERE -OF, this agreement was executed in duplicate originals by the duly authorized representative of the parties hereto on the day and year written as indicated by each of the parties named below: V FOR THE ENVIRONMENTAL vo MANAGEMENT COMMISSION Name off Linda Culpepper Interim Director, Division of Water Resources (Date) (Signature) 1,Wj( C) Name and Title (Date) State of North Carolina Department of Environmental Qualiq, Division of Water Resources DWRE CHANGE SEWERSYS AlMPERIN-11TOWNERSHIMNAN Division of Water Resources I NSTRUCTIONS FOR 170101: PNOCF 0 1-16 1. LXISTING PERMITTEE INFORINIATION: RECEIVED/NCD5NR/DWR 2019 JUG!1. Vennittec's name.. Prestiee Cot oorn i WOROS 2. Signature authority's name, per JSA NCANUMEMME REGIONAL OFFICE .1. Signature authority's title., Minage 4. Pennittec's mailing address: City. carildiuk State: NC Zip: 2W.31-- 5. Permittec's contact information: Phone number. (704) fW-dLIL59 Fax Nwnber Lmail Address: Ac"44& tme ,j_ dILL--1 It. APPLICANT INFORMATION. 1. Applicant's name: Eyplye I Signature authority's natu per _C&L y,,I, -qL 3. Signature authority*s title: Mitnage 4. applicant's mailing address: 2191X,A Marijn;c ilic Road City: Grmmsixm) State. NC Zip. 2ZA)-tS-- 5. Applicant's contact information: Phone number: (-11(w) 2a2--4W) Fax Numtx-r Email Address. & Reprc�cittative's name: MaL "(1m 7. Representative's title: — 8. Representative's contact infonvation Phone numbcr: (13±) &'I-!L9,9) Fax Number Email Address: ma110cvolvccos= Ill. PERMIT INFORMATION: 1. Existing permit number: W-(AL(W-0A0,) and most recent issuance date: jujv 24 1 ,j2A 1 Reason for the permit application: Change of Oviriti-ship If other. attach dclailed explanation 3. Has the facility been constructed,? 0 Yes or 21 No 4. lias the facility 0 Yes or 21 No FORM: PNOCFOI-16 rage I of-' IV. CERTIFICATIONS: Certification per ISA N!QAC Q� .ttI06fh1 ,attest that this application (Signature Authority's name & title from Application Iteat 1.2 & 3 has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that prior to reissuance of the ptnuit into the Applicant's name, I will continue to be responsible for compliance with the current pennit and any discharge of wastewater front this system to surface waters or the laud may result in an enforcement action that may include civil penalties, injunctive relief and,}or criminal prosecution, i will also make no claim against the Division of Water Resources should a condition ofthe existing pemeit be violated. I also understand that if all required parts of this application are note completed and that if all required supporting information and attachments are not included, this application will be returned to me as incornplete. NOTE --*ccordwit G rnI S,tt tutus 143-215A?A and ItjL-V5&t 3, arty person who knowingly tttakes any IaIsc statctuentm-pt sentto y ication package shall be guilty of a CIa."2 tnisrletrte 3nttr, ahicla tray° incitrde a lwnc not to escecd S sc' t1 t ti s pto $25.000 per violation. SignatureD tr: Applicant's Certification per 1. !'1 1 '_ {Signature Authority*s name & title from Application Item 11t2&3.) that this application has been reviewed by me and is accurate and complete to the b+.-:t of my knowtetige. I understand that after issuance of the permit into the Applicant's name, I will be responsible for compliance with the issues) permit and any discharge of wtts touter from this non - discharge system to surface seaters or the land may result in an enforcent"t action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Rcsmrrces should a condition of this permit be violated. 1 also understand that if all required parts of this application package arc: not completed and that if all w4uired supporting infonnation and attachments are not included, this application package will be returned to me as incomplete. NOTE — In accordance cot a tl Statutes -2 i? ttA and L1- `t l�, any person who knowingly; makes any false statement. representation, or conihca irk>' ►''" ti Ye package shall be guilty of a Class 2 tnisdemeanoar, which ntav include a fine not to exceeed $10,000 as welt vi, ' + 'o 25.000 per violation. Signature; "fir llate• ! �1 17ORM: PNOCV 01-lh Page 2 of AMERICAN Engineering June 6, 2019 Ori Tuvia Mooresville Regional Office NCDEQ 610 East Center Avenue, Suite 301 Mooresville, NC 28115 704-663-6040 Subject: Rivercross Apartments Revision Summary Off -Site Roadway Water/Sewer Plans Ori, Please find below the list of all water/sewer design changes pertaining to the Off - Site Roadway Improvements Water/Sewer Plans. 1. Gravity sewer manholes SMH 103, 104, and 105 shifted due to the onsite apartment layout changes. 2. Total length of sewer reduced from 1,437 feet to 1,182 feet 3. Total length of water remains 2,092 feet Regards, Benjamin Pickering, PE American Engineering Associates - Southeast, PA American Engineering Associates — Southeast, PA # South Carolina Engineering License 4729 8008 Corporate Center Drive, Suite 110, Charlotte, NC 28226 # 704-375-2438 # www.American-EA.com 1111 £`v R Division of Water Resources State of North Carolina Departinent of Environmental Quality Division of Water Resources Flow Tracking for Sewer Extension Applications (FTSE 10-18) Entity Requesting Allocation: Evolve Acquistions, LLC Project Name for which flow is being requested: Rivercross Apartments Offsite More than one FTSE may be required for a single project if the owner of the 6"PTP is not responsible for all prurrp 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: Killan Creek WWTP b. WWTP Facility Permit #: NCO088722 All flows are in MGD c. WWTP facility's permitted flow 3.35 d. Estimated obligated flow not yet tributary to the WWTP 1.564 e. WWTP facility's actual avg. flow 1.294 f. Total flow for this specific request 0.000 g. Total actual and obligated flows to the facility 2.858 h. Percent of permitted flow used 85.31 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: Pump Pump Station Station Firm (Name or Permit Capacity, Number) No. MGD 15B WQ0032852M 1.856 (A) (B) (C) (D)=(B+C) (E)=(A-D) Design Average Approx. Obligated, Total Daily Current Not Yet Current Flow** Avg. Daily Tributary Flow Plus (Firm / pfl, Flow, Daily Flow, Obligated Available MGD MGD MGD Flow Capacity*** 0.742 0.000 0.315 0315 0.427 * 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 (Sever): Lincoln County Sewer System Downstream Permit Number: WQCS00149 Page I of 6 FTSE 10-18 III. Certification Statement: I Donald V. Chamblee 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. Signing Signature 41"L W c>v �'I V i y'.' `--kV Title of Signing Official Date Page 2 of 6 FTSE 10-18