HomeMy WebLinkAboutWQ0021650_Application_20040701FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELDI : Application Number:
(to be completed by DW(
,1.
Owner.'
1a.
Laurin burg -Maxton Airport Commission
Full Legal Name (company, municipality, HOA, utility, etc.) W�
Z
1 b.
Larry BarnettExecutive Director
O
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
1 c.
The legal entity who will own this system is:
Q
❑ Individual ❑ Federal ❑ Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ® Other (specify):
1d.
P.O. Box 31 1e. Laurinburg
0
Street Address CityLL
Z
1f.
North Carolina 1g. 28353
Z
State Zip Code _
0
1 h.
(910) 844-5081 1 i. (910) 844-9681 1 j. Imac@carolina.net
Telephone Facsimile E-mail
0
2.
Project (Facility) Information:
i
2a.
Sewer System to serve Scotland County School Accelerated
Q,
Academy '2b. Scotland
a
Brief Proiect Name (permit will refer to this name) County Where Project is Located
Q
3.
Contact Person:
Q
3a.
Michael C. Wicker P E Hobbs Upchurch & Associates P.A.
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
(910) 692-5616 3c. mwicker@hobbsupchurch.com
Phone Number E-mail
_............. .
1.
_.-....._...._...----- - --- ...---- ._...- - -
Project is ❑ New ® Modification (of an existing permit) If Modification, Permit No.: W00021650
........ ___ _... ._ _.... ... _._
For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
)hie --if an H^,a►inn - rin no%t
PilHOBBS, UPCHURCH & ASSOCIATES, P.A. BNff
CONSULTING ENGINEERS Branch Banking and Trust Company
P-O. BOX 1737, 300 S.W. BROAD STREET 66-1121531
SOUTHERN PINES, NC 28388
(910)692-5616
Exactly Four hundred and no / 100 Dollars DATE
6/30/2004
PAY
TO THE
ORDER
OF:
North Carolina Div. of Water Quality
Ill 01-.0056"
wastewater to be permitted in this project: 0 gallons per day
8. If the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
® Flow has already been allocated in Permit No. WQ0021650
❑ Rehabilitation or replacement of existing sewer with no new flow expected
AMOUNT
$400.00
FTA 02/03 - Rev. 2 04/04
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 1
OF W AT , State of North Carolina
QG Department of Environment and Natural Resources
XaJUL 1 - 2004 Division of Water Quality
o FAST -TRACK APPLICATION
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewers systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included the following list of required application package items by checking the
space provided next to each item. Failure to submit all required items will lead to your application being returned as
incomplete or additional processing and review time. This form may be photocopied for use as an original.
® I. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. Any changes to this form will result in the application being returned. The Division of Water Quality
(Division) will only accept application packages that have been fully completed with all applicable items
addressed. You do not need to submit detailed plans and specifications unless you respond NO to Item B02).
® II. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR).
❑ III. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2a) of this application.
❑ IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension is permitted by a private applicant and will be serving residential or commercial lots (e.g.,
houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If the applicant is a
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
® V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
Flow acceptance letters must contain the following minimum information: applicant and project name, amount of
flow accepted, and name and permit number of the receiving sewers/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
® VI. Map — Submit an 8.5-inch by 11-inch COLOR copy of the portion of a 7.5-minute USGS Topographic Map along
with this form. The map should identify the entire project area location as well as the closest downslope surface
waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified
location of the sewer line and pump stations, and be of clear and reproducible quality. For instance, if the project
involves 4 miles of interceptor sewer that traverses over or near several different waterbodies (or counties,
basins, etc.), the map should have location ID's shown for each different waterbody (where the sewer line is within
100 feet of such waterbody - see Instruction VII). This location ID is self chosen and used to cross reference the
location in Section C of the permit application.
® VII. Stream Classifications — Section C
• If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
• If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
• Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o.enr.state. nc. us/ndpu or by contacting the appropriate regional
office.
FTA 02/03 - Rev. 2 04/04
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
® Vill. Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C .0500], this application can not be used. Send the project application on Form PSFMGSA 10/99 to the
Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be
processed until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS) has been
issued. A copy is to be submitted with that permit application.
® IX. Certifications — Section D
The application must be certified by both the applicant and a North Carolina Registered Professional Engineer
(PE). The applicant signature must match the signing official listed in Item A(1b). The PE should NOT certify the
application if he/she is unfamiliar with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design Criteria (most
recent version) and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
(most recent version), as applicable to the project. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
FEE. SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
Avery, Buncombe, Burke, Caldwell,
2090 US Highway 70
Cherokee, Clay, Graham, Haywood,
Swannanoa, North Carolina 28778
Henderson, Jackson, Macon,
(828) 296-4500
Madison, McDowell, Mitchell, Polk,
(828) 299-7043 Fax
Rutherford, Swain, Transylvania,
Yancey
Fayetteville Regional Office
225 Green Street Suite 714
N
Fayetteville, North Carolina 28301
Fayetteville,
Faye
Anson, Bladen, Cumberland, Harnett,
48
Hoke, Montgomery, Moore, Robeson,
(910) 486-0707 Fax
Richmond, Sampson, Scotland
Mooresville Regional Office
919 N Main Street
No
Mooresville, North Carolina 28115
Moor
Alexander, Cabarrus, Catawba,
Cleveland, Gaston, Iredell, Lincoln,
663le,
(704) 663-1699 Fax
Mecklenburg, Rowan, Stanly, Union
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe,
Raleigh, North Carolina 27699-1628
Franklin, Granville, Halifax, Johnston,
Lee, Nash, Northampton, Orange,
(919) 571-47
Person, Vance, Wake, Warren,
(919) 571-4718 Fax
Wilson
Washington Regional Office
Beaufort, Bertie, Camden, Chowan,
943 Washington Square Mall
Craven, Currituck, Dare, Gates,
Washington, North Carolina 27889
Greene, Hertford, Hyde, Jones,
(252) 946-6481
Lenoir, Martin, Pamlico, Pasquotank,
(252) 975-3716 Fax
Perquimans, Pitt, Tyrrell, Washington,
Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus,
Wilmington, North Carolina 28405
Duplin, New Hanover, Onslow,
(910) 395-3900
Pender
(910) 350-2004 Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell,
Winston-Salem, North Carolina 27107
Davidson, Davie, Forsyth, Guilford,
(336) 771-4600
Rockingham, Randolph, Stokes,
(336) 771-4631 Fax
Surry, Watauga, Wilkes, Yadkin
For more info►mation, visit our web site at: http://`h2o.enr.state.nc.uslndpul
FTA 02/03 - Rev. 2 04/04
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ) s
J.
Owner.
la.
Laurinbu-Maxton Airport Commission
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
11 b.
Larry BarnettExecutive Director
0
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
F."
1 c.
The legal entity who will own this system is:
a
❑ Individual ❑ Federal ❑ Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ® Other (specify):
1 d.
P.O. Box 31 le. Laurinbur
0
Street Address
CityLL
-
..........
Z
1f.
North Carolina 1g. 28353
Z
State Zip Code
1 h.
(910) 844-5081 1 i. 910) 844-9681 1 j. Imac@carolina.net
Telephone Facsimile E-mail
0
2.
Project (Facility) Information:
J
2a.
Sewer System to serve Scotland County School Accelerated
G.
Academy 2b. Scotland
0-
Brief Proiect Name (oermit.will refer to this name) .. _._ County Where Project is Located
Q
3.
Contact Person: _
a
3a.
Michael C. Wicker, P.E. Hobbs, Upchurch & Associates, P.A.
Name and Affiliation of Someone Who Can Answer Puestions About this Application
3b.
(910) 692-5616 3c. mwicker@hobbsupchurch.com
Phone Number E-mail
1.
Project is ❑ New ® Modification (of an existing permit) If Modification, Permit No.: W00021650
_._.._._.__._....._...._........-.---......_.__...----............. _.......... ............ ........ -...... --.... _..... __...... ---------- ----------- --..__...._... _........... _.......... _.......... .......................................... ......_...................__.......
For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
phase, changing line size/length, etc.). Only include the modified information in this permit application - do not
duplicate project information in B(7) and B(10-11) that has already been included in the original permit.
2.
Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a.
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one
❑ Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (instruction III) l
Z
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction IV)
0_
❑ Selling units (lots, townhomes, etc. - go to Item B(2b)) i
Q
3.
Laurinbur4-Maxton Airport Commission
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a.
LMAC-Laurel Hill 4b. NC0005479
0
LL
Name of WWTF WWTF Permit No.
Z
5a.
LMAC b. 12" 5c. na
_..
Owner of Downstream Sewer Receiving Sewer Size Permit Number of Downstream Sewer (if known) 1
_ ...-.._....-._.....__........_.................. _.__......_..._..-.._....... _...... _.._......__.... ........ ............. _...... _......... _._..-.................... _..._........... __.... ....... _.......... _....-..._............_...._...--- ------------------ ----.-._.-..............
-- -r
6.
T..he_ ori..gin_..----
of this wa- s-tewa- te- is (check all that apply):
❑ Residential Subdivision ❑ Car Wash
UJ
G.
❑ Apartments/Condominiums ❑ Institution 100 % Domestic/Commercial
❑ Mobile Home Park ❑ Hospital
® School ❑ Church % Industrial
❑ Restaurant ❑ Nursing Home % Other (specify):
❑ Office ❑ Other (specify):
7.
Volume of wastewater to be permitted in this project: 0 gallons per day
8.
If the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
® Flow has already been allocated in Permit No. W00021650
❑ Rehabilitation or replacement of existing sewer with no new flow expected
FTA 02/03 - Rev. 2 04/04
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(I) for Item 13(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(I)(3).
Original permit for 100 gpm and 4 inch force main is revised to 180 gpm and 6 inch force main; however, additional flow is
not being added to project. We were able to increase size of force main and use basically same pump horsepower
to pump additional flow because of reduced friction loss. Floats in station adjusted to allow for pump run times.
Since at a school the flows are concentrated in mid -day time frame. Increased size allows for future tie-ins from
community system to utilize this pump station and force main.
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet) Gravity or Force Main
(use the pull down menu)
6" 9,072 Force Main
12" 90 _ - Gravity Sewer
w
Z
V I
Z ENTER TOTAL LINE LENGTH IN MILES 1.74
Q11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Location ID Power Reliability Option
(self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2- permanent generator w/ATS; 3-
0 plans for cross-reference) (MGD) GPM @ TDH portable generator w/telemetry; 4-wet well storage)
Z LH # 1 .006 ._ 180 @ 45' TDH
W
a12. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
m Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
® Yes [:]No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested:
I
SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater? ❑ Yes ❑ No ® N/A
FTA 02/03 - Rev. 2 04/04
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
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1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02103
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
❑ A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND,
❑ A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
option for any pump station near a Class C down slope waterbody.
Location ID on Map
(self chosen - as shown on Name of Waterbody Stream Waterbody
map for cross-reference) Waterbody County River Basin Index Classification
Cam• S.,.r�e CC,wK Gum Swamp Brnneh Scotland Lumber jLk- 3Z _ („� C-SW
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification is providedl
1. Applicant's Certification:
la.
1, Larry Bamett attest that this application for Sewer System for Scotland County School Accelerated Academy
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. Note: In accordance with North Carolina
General Statutes 143-215.6A and 143-215.6B, any person who knowing) makes any false statement, representation, orj
certification in any application shall be guilty of a Class 2 misdemeanor w 'ch may include a fine not to exceed $10,000 i
as well ps civil penalties,dp to $2 ,OOO,per violation. , /
'roboisional EVdineer's Certification:
1 attest that this application for Sewer System for Scotland County School Accelerated Academy
has been reviewed by me and is accurate, complete and consistent with the information in the engineering plans,
calculations, and all other supporting documentation to the best of my knowledge. 1 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 adopted February 12, 1996, and the Minimum Design Criteria for the Fast Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with
Division guidance. Although certain portions of this submittal package may have been developed by other professionals,
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 NC General Statutes 143-215.6A and 143-215.6B, any
person who knowingly makes any false statement, representation, or certification in any application 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.
2a. Michael C. Wicker, P.E.
Professional Engineer Name
2b. Hobbs, Upchurch & Associates, P.A.
Engineering Firm 1SE&
2c. 300 S.W. Broad Street
Address
2d. Southern Pines 2e. NC 2f. 28388
City State Zip y
2g. (910) 692-5616 2h. (910) 692-7342 2i. mwicker@hobbsupchurch.com
Telephone Facsimile E-mail Seal, Signature & Date
FTA 02/03 - Rev. 2 04/04
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Copyright (C) 1997, Maptech, Inc.
TRANSMITTAL
TO: Larry Barnett
LMAC
FROM: Michael Wicker �AG
Hobbs, Upchurch & Associates, P.A.
DATE: June 15, 2004
Hobbs, Upchurch
VJ4& Associates, P.A.
Consulting Engineers
P.O. Box 1737
300 S. W. Broad Street
Southern Pines, North Carolina 28387
(910) 692-5616 FAX (910) 692-7342
HUA PROJECT # LH0201
RE: Scotland County School System Accelerated Academy
Gravity Sewer, Pump Station & Force Main
MESSAGE:
Larry ,
We are preparing as-builts and final certification for the subject project and need to
modify the original permit from DWQ to reflect the as -built project. The original permit
was issued to LMAC and we need to have it re -issued with the modifications. The
modifications include:
Change of 4" force main to 6" force main and extending force main along Old Wire Road
to Field Crest Road and eliminating the 8" and 10" gravity across the creek,
Change of 100 gpm pump station to 180 gpm pump station,
Replacing the existing sewer at WWTP with 90 if of 12" gravity sewer.
Please sign the attached permit application, retain one copy for your files and return the
original signatures to our office so we can forward a complete package to the Fayetteville
Regional Office. We will copy you on the submittal. If you have any questions please
call.
Cc: Jim Blackwell, Scotland County
Kerry McLawhorn, Scotland County Schools
Hobbs, Upchurch & Associates, P.A.
1qJ Consulting Engineers
300 S.W. Broad Street • Post Office Box 1737 • Southern Pines, NC 28388
June 30, 2004
NCDENR, Division of Water Quality
Fayetteville Regional Office JUL
Suite 714, 225 Green Street ' Z�Qy
Fayetteville, North Carolina 28301
Re: Permit Modification Request
Sewer System for Scotland Accelerated Academy- LMAC
Laurinburg-Maxton Airport Commission
DWQ Permit # WQ0021650, HUA No.: LH0201
Scotland County
Dear Sirs:
The referenced project to construct a pump station, force main and sanitary sewer main extensions for the
Scotland Accelerated Academy is now complete. We are requesting a permit modification to reflect the as -
built conditions. The original permit permitted a 100 gpm pump station, 4,170 if of 8" gravity sewer, 800 if
of 10" gravity sewer and 5,350 if of 4" force main. Scotland County requested that the gravity sewer be
eliminated and that the force main be extended all the way to the LMAC Laurel Hill WWTP gravity sewer
system. Therefore the 8" and 10" gravity sewer was eliminated. The force main distance increased to
9,072 If. The high point on the line remained at station 5,450 for TDH calculations. We were able to bid
an alternate 6" force main and 180 gpm pump station and still stay within the grant funds for the project and
because of the decrease in friction loss us about the same horsepower pump and not have to install a grinder
pump as originally anticipated. The force main is revised to 6" and the pump station to 180 gpm. A 40 kw
generator with ATS was installed, flow metering device, trash basket, portable hoist, etc. An 8 ft wetwell
was installed to accommodate the trash basket and pumps and to allow for future capacity should Laurel
Hill community flow or Springs Industry flow ever be added to the system. The floats will be adjusted
accordingly as flow increases to reduce pump on/off time. Currently the floats are set to allow the system to
run while school flow from 10:00 am-2:00 pm is at peak. The station will likely only run during this period
of the day during initial flows. For this reason the pump off and pump on levels are set very far apart to let
the system store waste until such time as the pumps run and to let the pumps run for several minutes rather
than a quick cycling during school hours. A completed application for permit modification and check for
$400.00 is attached.
Please feel free to contact this office should you have any questions or require additional information regarding
closeout of this project.
Respectfully,
HOBBS, UPCHURCH & ASSOCIATES, P.A.
Michael C. Wicker, P.E.,
Project Manager
cc: LMAC- Larry Barnett
Jim Blackwell, P.E., Scotland County
Kerry McLawhorn, Scotland County Schools
Attachments
Southern Pines, NC • Telephone 910-692-5616 Fax 910-692-7342 • e-mail: info@hobbsupchurch.com
Myrtle Beach • Nags Head Raleigh • Charlotte • Beaufort