WQ0041054_Application_20190801

HAGEN
ENGINEERING. PA
Building Code Enforcement
500 N Main Street Room 47
Monroe, NC 28112
704-296-4210
3859 Battleground Ave, Suite 300 Phone: [phone]
Greensboro, NC 27410 [e-mail]
RE: Ardmore at Indian Trail
Union County Submission
Private Sewer Permit
Cover Letter
July 11, 2019
The purpose of this cover letter is to outline the contents of this Private Sewer Permit
application package as well as to provide of a summary of the project to which is pertains. This
Ardmore at Indian Trail development is a multifamily complex with 105 one bedroom units, 105
two bedroom units, and 42 three bedroom units, as well as a clubhouse with approximately 4
employees, a pool with and estimated 50 users/day and a car wash, which will require an
estimated peak flow of 40,020 GPD for utility consumption. The project will be comprised of both
private and public sewer, both of which will be gravity sewer. In terms of private sewer, this
project will be comprised of 426 LF of 8" PVC, 782 LF of 8" DIP, 415 LF of 6" PVC, & 238 LF of
n" nln %A/:a L.:... ♦1-:.. .., .L. .....:ai-1 .-.. _I__-._ .,_.....:II c:.__1 lL__ .:�_. :a_�__.
U UIC. VVltlllll LIllb Submlttdl.L)dLr'Cl C yUU VVIII IIIlu Liltlullumll Items:
1) $480 check for the Private Sewer Permit
2) One completed & one copy of the DWR Fast Track Sewer System Extension application
3) One 8.5" x 11" USGS Topo Map
4) One street level map (aerial)
5) Flow Tracking Form
Thank you,
;�� -'a-"2�Z
Nolan Franz, EIT
Hagen Engineering, PA
434-566-8037
I' tECEIVEDINCDEMRIDWR
AUG 1 z019
WOROS
'M"IOORESVILLE REGIONAL OFFICE

Union County Public Works
500 North Main Street
Suite #400
Monroe, NC 28112
T. 704.296.4210
www.unioncountync.gov
July 12, 2019
Mr. Barret Hagen
Hagen Engineering
3859 Battleground Avenue
Greensboro, NC 27410
Re: Sewer Treatment Capacity
Ardmore at Indian Trail
Dear Mr. Hagen:
RECEIVE( /NCDENR/O WR
JUL 26 2019
WORU
MOORESVILLE REGIONAL OFFICE
Union County Public Works Department can accept the additional discharge of 40,020 gallons
per day of domestic wastewater from this project for transmission to the Crooked Creek
Wastewater Treatment Plant (NPDES permit number NC0069841) for treatment. This allocation
is intended to serve the above mentioned project.
If you have any questions please don't hesitate to call.
Sin rely: V
",
rystal O. Panico, P.E.
New Development Program Manager
COP/pwb

State of North Carolina
Department of Environmental Quality
Omar
DWIM 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: ��� VJ (to be completed by DWR) —�
DECEIVED NC05NRl0WR
All items must be completed or the application will be returned
Ju:1 L
I. APPLICANT INFORMATION:
WQROS
1. Applicant's name: Ardmore at Indian Trail, LLC (company, municipality, HOA, utility, ete.)KAOORFSVILLE REGIONAt_ OFFICE
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Brantley White per 15A NCAC 02T .0106(b)
Title: Manager
4. Applicant's mailing address: 1400 W Northwood St
City: Greensboro State: NC Zip: 27408-
5. Applicant's contact information:
Phone number: [phone] Email Address: bwhite(cbardmoreresidential.com
II. PROJECT INFORMATION:
1. Project name: Ardmore at Indian Trail
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: WQ00__
3. County where project is located: Union
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.072273' Longitude:-80.663528°
5. Parcel ID (if applicable): 07105035B
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Barret Hagen License Number: 30469
Firm: Hagen Engineering, PA
Mailing address: 3859 Battleground Ave
City: Greensboro State: NC Zip: 27410-
Phone number: [phone] Email Address: nfranz a)hagen-en .com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Crooked Creek WWTP Permit Number: WQ0069841
Owner Name: Union County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0001160 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Numbers if applicable): WQCS
Owner Name(s): Union County
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: 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 .0103(20D
'Is there a Pretreatment Program in effect? ❑ Yes [] No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes ®No
➢ Imes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0114(fl)
Daily Design Flow a,n
No. of Units
Flow
Multi -family Residntial 1 Bedoom Unit
140 gal/day
105
14,700 GPD
Multi -family Residntial 2 Bedoom Unit
140 gal/day
105
14,700 GPD
Multi -family Residntial 3 Bedoom Unit
210 gal/user
42
8,820 GPD
Office Employees
25 gal/day
4
100 GPD
Pool
10 gal/user
50
500 GPD
Car Wash
1200 gal/day
1
1,200 GPD
Total
40,020 GPD
a See 15A NCAC 02T .0 1 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 .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01.14.] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 40,020 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

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
30I330 WN0193H 311IAS:18(
SOHOM
610Z I OfIV
HMO/kINBOONI(BA1303H
Size (inches)
Length (feet)
Material
OW 8
426
PVC
8
782
DIP
6
415
PVC
6
238
DIP
➢ 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(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (g) ® Yes [:]No
➢ 15A NCAC 02T.0305(fl contains minimum separations that shall be provided for sewer systems,
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer including in benched trenches
18 inches
Water mains horizontal
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinkin 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 webpaae
➢ 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 213.0202
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 Permittinl> Branch
5. Does project comply with 15A NCAC 021.0105(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 ❑ 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:
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 supportine
documents.
2. Professional Engineer's Certification:
I, 13a' 1\..e.E -' A . k1k ;z Al attest that this application for
(Professional Engineer's name from Application Item III.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 143-215.613, 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
North Carolina Professional Engineers seal, signature, and date: OQ, •. •� ,�
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, Brantley White - Manager 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,
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: ���- f�� Date: V /ul /Z Olq
FORM: FTA 04-16 Page 5 of 5

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer_ Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Union County
Project Name for which flow is being requested: Ardmore at Indian Trail (Private Portion)
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: Crooked Creek WWTP
b. WWTP Facility Permit #: NC0069841
All flows are in MGD
c. WWTP facility's permitted flow 6.0* Does not include 3
MGD diversion to 6 Mile
d. Estimated obligated flow not yet tributary to the WWTP 0.2880
e. WWTP facility's actual avg. flow 1.2117
f. Total flow for this specific request 0.0400
g.. Total actual and obligated flows to the facility 1.5397
h. Percent of permitted flow used 81.04
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 Flow** 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***
N/A
* 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): Crooked Creek WWTP
Downstream Permit Number: WQ0001160
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Crystal O. Panico, PE 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.
Signature
New Development Program Manager
Title of Signing Official
911 z/l
Page 2of6
FTSE 10-18

North Carolina Secretary of State Search Results
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an Amended a Annual Report form
Limited Liability Company
Legal Name
ARDMORE INDIAN TRAIL, LLC
Information
Sosld: 1680494
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 3/20/2018
Registered Agent: CR Services, LLC
Addresses
Mailing
1400 W. Northwood Street
Greensboro, NC 27408
Reg Mailing
235 N. Edgeworth Street
Greensboro, NC 27401
Company Officials
Principal Office
1400 W. Northwood Street
Greensboro, NC 27408
Reg Office
235 N. Edgeworth Street
Greensboro, NC 27401
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Brantley E White
1400 W Northwood St
Greensboro NC 27408-8021
https://www.sosnc.gov/online services/search/Business Registration Results 7/29/2019

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Ardmore at Indian Trail —Aerial

SOSID: 1680494
Date Filed: 3/20/2018 7:27:00 AM
Elaine F. Marshall
North Carolina Secretary of State
C2018 073 05033
ARTICLES OF ORGANIZATION
OF
ARDMORE INDIAN TRAIL, LLC
Pursuant to Article 2 of Chapter 57D of the North Carolina General Statutes, the
undersigned natural person of the age of eighteen (18) years or more does hereby make and
acknowledge these Articles of Organization for the purpose of establishing a limited liability
company (the "Company") under and by virtue of the laws of the State of North Carolina, and to
that end does hereby set forth the following:
ARTICLE I
The name of the Company is Ardmore Indian Trail, LLC.
ARTICLE II
No date for the dissolution of the Company is herein specified.
ARTICLE III
The Company shall have the purpose of engaging in any lawful business and shall have
all of the powers set forth in Section 57D-2-03 of the North Carolina General Statutes.
ARTICLE IV
The Company address of the principal office of the Company is 1400 W. Northwood
Street, Greensboro, Guilford County, North Carolina 27408.
ARTICLE V
The address of the initial registered office of the Company is 1400 W. Northwood Street,
Greensboro, Guilford County, North Carolina 27408, and the name of the initial registered agent
of the Company at such address is Ricky L. Hopkins.
ARTICLE VI
The members of the Company shall not be managers by virtue of their status as members.
Except as expressly provided otherwise in the written operating agreement of the Company, the
business of the Company shall be conducted under the exclusive management of those persons,
entities, firms or corporations who shall be designated from time to time in accordance with the
operating agreement of the Company as a manager.

ARTICLE VII
The name and address of the person executing these articles of organization as the
organizer of the Company are:
Name
Address
Brantley E. White 1400 W. Northwood Street
Greensboro. NC 27408
ARTICLE VIII
Pursuant to Section 57D-2-20(c) of the North Carolina General Statutes, the organizer
shall identify those persons, firms or corporations who shall be the initial members of the
Company.
ARTICLE IX
To the fullest extent permitted by the North Carolina Limited Liability Company Act, as
it exists or may hereafter be amended, the Company shall indemnify all persons who are
members or managers of the Company against any of the matters described in Section 57D-3-
31(a) of the North Carolina General Statutes. Notwithstanding the foregoing, the members shall
have the express authority, pursuant to a written operating agreement, to extend, restrict, or
otherwise modify the limitation of liability and indemnity provided hereunder or the terms and
conditions whereby such limitation of liability and indemnity will be provided. No amendment
or repeal of this article, nor the adoption of any provision of these articles of organization
inconsistent with this article, shall eliminate or reduce the protection granted herein with respect
to any matter which occurred prior to such amendment, repeal or adoption.
ARTICLE X
These articles shall become effective upon filing in the Office of the North Carolina
Secretary of State.
IN WITNESS WHEREOF, the undersigned has hereunto set his hand and seal on this the
14`" day of March, 2018.
�'— (SEAL)
BrAWey E. White, Organizer

Central Files: APS _ SWP
8/2/2019
Permit Number WQ0041054
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
ori.tuvia
Coastal SWRuIe
Permitted Flow
40,020
Facility
Facility Name
Ardmore at Indian Trail
Location Address
Owner
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Mooresville
County
Union
Facility Contact Affiliation
Owner Name Owner Type
Ardmore at Indian Trail Non -Government
Owner Affiliation
Brantley White
Manager
1400 W Northwood St
Dates/Events Greensboro NC 27408
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
8/2/2019 7/26/2019 8/2/2019 8/2/2019
Regulated Activities Requested /Received Events
Apartment complex Additional information requested 8/1/19
Wastewater collection Additional information received 8/1/19
Outfall
Waterbody Name Streamindex Number Current Class Subbasin