WQCS00121_Annual Report_20200717

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316 EAST MURRAY STREET • WALLACE, NORTH CAROLINA 28466 • PHONE:[phone]
�. ov, OI IV.viiACE
TOWN COUNCIL
MAYOR TOWN CLERK FINANCE OFFICER
Francisco Rivas Diaz
Q ® Charles C.Farrior,Jr. Jackie Nicholson Shameshia Fennell
Wanetta Carlton
- : William Jeffrey Carter
TOWN MANAGER Frank Brinkley TAX COLLECTOR TOWN ATTORNEY
Laurence Bergman Jason Wells J.Christopher Martin Anna Heath
RECEIVED
JUL 17 2020
TOWN OF WALLACE �DEQ/UWR/NPDES
COLLECTION SYSTEM REPORT
PERMIT#WQCS00121
FY: 2018-2019
The Town of Wallace currently has a collection permit#WQCS00121 that consists of
approximately 60 miles of sewer lines and 23 lift stations. The Town purchased a sewer
pp Y
modeling system to run for all new connections. The wastewater collected in our system is
treated at our 5.42 MGD wastewater plant (permit # NC 0003450).
The Town of Wallace receives wastewater from the Town of Teachey, Town of Greenevers and
Town of Burgaw.
General Maintenance:
A. Lift stations are checked one time daily seven days a week. Stations with SCADA or auto
dialer are checked once a week.
B. Approximately.6 miles of collection lines cleaned annually.
C. Lift stations are cleaned as needed by a contract Vac truck.
D. All lift stations have electrical back-up hookups and bypass pump connection.
E. Two generators in stock and 7 by-pass pumps in stock.
F. All outfall lines are mowed twice annually.
G. Pump run times are logged in daily.
H. Thirteen (13) lift stations have SCADA.
I. Seven (7) have auto dialers.
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FAX:[phone] • EMAIL: [e-mail] • WEB: http://www.wallacenc.gov
The Town of Wallace is an equal opportunity provider and employer.

FOG Ordinance:See attached report
Sanitary Sewer Overflows (SSO)— Few were reported but none met the criteria for official
notification. (Courtesy call just to inform regional office)
High Priority Lines: Inspected weekly
Emergency Response: The Town responds to all emergency responses within one (1) hour of
notification. We have equipment on hand to repair if needed, standby pumps if needed, vac
truck (contractor if needed), electrical contractor if needed, and spill clean up materials if
needed. We currenly have dialers on all lift stations that were required at the time of start up.
Alarms are at all lift stations and are checked weekly to ensure operation.
ORC Information: Andy Raynor is the Town's ORC for the Collection System. He has a Grade 4
and license #988755 and the backup ORC is Ricky Raynor. His is also a Grade 4 and his license
number is#988754.
If you have any questions concerning this report, please feel free to contact me at 910-285-
2812 (office) or my cell 910-665-2063.
Sincerely,
Brent Dean
Public Services Director
Attachment:
FOG Ordinance
Pipe Inventory
List of lines cleaned

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TOWN OFWA%LACE •
FOG (Fats,'Oils, and Grease)
Control Ordinance
L. Scope and Purpose
b aid in the prevention of sanitary sewer blockages and obstructions from contribution and
;cumulation of fats, oils, and greases into such sewer system from industrial or
)mmercial establishments,particularly food preparation and serving facilities.
Definitions
Fats, Oils, and Greases. Organic polar compounds derived from animal and/or plant
urces that contain multiple carbon chain triglyceride molecules. These substances are
tectable and measurable using analytical test procedures established in 40 CFR 136, as
iy be amended from time to time. All are sometimes referred to herein as "Grease" or
`teases". •
Grease Trap or Interceptor. A device for separating and retaining waterborne
eases and Grease complexes prior to the wastewater exiting the trap and entering the
itary sewer collection and treatment system. These devices also serve to collect
:leable solids, generated by and from food preparation activities,prior to the water
ling the trap and entering the sanitary sewer collection and treatment system. Grease
)s and Interceptors are sometimes referred to here in as "Grease Interceptors".
Cooking Establishments. Those establishments primarily engaged in activities of
Raring, serving, or otherwise making available for consumption foodstuffs and that use
of more of the following preparation activities: Cooking by frying(all methods),
bag(all methods), grilling, sautéing,rotisserie cooking, broiling (all methods),boiling,
iching, roasting, toasting, or poaching. Also included are infrared heating, searing,
iecuing, and any other food preparation activity that produces a hot, non-drinkable food
lust in or on a receptacle that requires washing.
Non-Cooking Establishments. Those establishments primarily engaged in the
aration of precooked foodstuffs that do not include any form of cooking. These include
rot limited to cold dairy and frozen foodstuffs preparation and serving establishments.
Vlinimum Design Capability. The design features of a Grease Interceptor and its
y or volume required to effectively intercept and retain Greases from grease-laden
waters discharged to the public sanitary sewer. •
7ser. Any person(s), individual,firm, company, association, society, corporation,
iization,public corporation or group upon whose property the building or structure •
ining the food service establishment is located. Owner(s) shall also include the
r(s) of a food service establishment who may lease the building, structure, or a portion
)f, containing the food service establishment. This includes anyone located outside of
awn's jurisdictional limits that contributes causes or permits the contribution or

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discharge of wastewater into the POTW, including persons who contribute such wastewater
from mobile sources, such as those who discharge hauled wastewater.
•
7. PGWT Staff. (POWT Staff)Public Owned Wastewater
Wallace.
l�eTreatment staff shall consist of
Town of Wallace employees authorized by the T
8. ily draUlic Load. At a minimum shall consist of all one, two, three and four
compartment wash sinks filled to seventy-five percent(75%) s capacityany and
h do being
glass warned
simultaneously,prerinse sink operating at maxim flow,p
machine or other drainage fixture unit being operated at maximum rated performance
levels.
C. Food Service Establishment Permit Regn,iTre>faent
1, Grease Interceptor Requirements: All permitted food service establishments are
required to install, operate, and maintain an approved type and adequately sized grease
interceptor necessary to maintain compliance with the objectives of this Ordinance. All
grease interceptors must meet the requirements of the Town of Wallace, Duplin County
and/or State of North Carolina plumbing Code.
2. Implementation: All new food service establishment facilities are subject to grease
interceptor requirements. All such facilities must obtain prior approval from
the Public
for grease interceptor sizing prior to submitting p
forlans
Works Director
g pit.
All grease interceptors shall be readily and easily accessible for cleaning and inspection.
Existing facilities with planned modification in plumbing improvements will be subject to
comply with the grease interceptor requirements. These facilities must obtain approval
from the Public Works Director for grease interceptor sizing prior to submitting plans for a
buil ding peiiuit. '
(All existing food service establishments, determined by the Public Works Director
to have a reasonable potential to adversely impact the Town's sewer system will be
notified of their obligation to install a grease interceptor within the specified period
set forth in the notification letter.)
3. Variance from Grease Interceptor Requirements; Grease interceptors required
under this Ordinance shall be installed T n �eePublic
five Works
D Director
technology and the
installation of an indoor grease trap or other p
determines that the installation of a grease interceptor would not be feasible. The food
service establishment bears the burden of demonstrating that the installation of a grease
interceptor is not feasible. The Public Works Director may authorize the installation of an
indoor grease trap where the installation of a grease interceptor is not feasible due to space
constraints or other considerations. If an establishment believes the installation of a grease
interceptor is infeasible,because of documented space constraints,the request of an
alternate grease removal device shall contain the following information:
a. Location of sewer main and easement in relation to available exterior space
outside building.

•
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b. Existing plumbing at or in a site that uses common plumbing for all services
at that site.
(Alternative pretreatment technology includes, but is not limited to, devices that
are used to trap, separate and hold grease from wastewater and prevent it from
being discharged into the sanitary sewer collection system. All alternative
pretreatment technology must be appropriately sized and approved by the Public
Works Director.)
Fee simple.
a. Per m t.to install must be obtained from Wallace Public Works prior to
installation of any grease interceptor device. All interceptors must be in
compliance with the Town's FOG Control Ordinance Section 2.0.
b. Permit to operate grease interceptor device will be issued once approval is
given by Wallace Public Works Director and Duplin County Health
Department.
Discharge Limitations •
No User shall allow wastewater discharge concentration from subject grease
rceptor, grease trap or alternative pretreatment technology to exceed that in accordance
r the Town's Sewer Use Ordinance Section 2.3 and Town's Fog Control Ordinance
ion E.
. I
-yeas e Interceptor Requirements:
1. Grease interceptor sizing and installation shall conform to this Ordinance.
2:. Grease interceptors shall be constructed in accordance with design approved
Le Public Works Director and shall have a minimtn-n of two compartments with fittings
;ned for grease retention.
3. Grease interceptor shall be installed at a location where it shall be easily
'sible for inspections, cleaning, and removal of intercepted grease. The grease
;eptor may not be installed in any part of the building where food is handled. Location
grease interceptor must meet the approval of the Public Works Director.
4. All such grease interceptor shall be serviced and emptied of accumulated
content as required in order to maintain Minimum Design Capability or effective
re. These devices should be inspected at least monthly by user. Users who are
ed to maintain a grease interceptor shall:
a. Provide for a minimum hydraulic retention time in accordance with
the UnifoL i Plumbing Code (or other applicable plumbing code used
by local agency).
•

• b: Remove any accumulated grease cap and sludge pocket as required.
• Grease interceptors shall be kept free of inorganic solid materials
such as grit,rocks, gravel, sand, eating utensils, cigarettes, shells,
towels,rags, etc.,which could settle
led intothis picket and thereby
reduce the effective volume of
thevice.
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5. The user shall maintain a written record of
i speon-sito cti and iinspeon by ace for
three(3)years. All such records will be made available f
representative of the Town of Wallace during all operating hours of user.
6. Sanitary wastes are not allowed to be connected to sewer lines intended for
grease interceptor service.
ne(1)year following adoption of
7. Except as provided herein, ° an exceptoreriod of s will be equired to be installed,
this ordinance, although installationgrease
no enforcement actions will be taken under This Ordinance
one yr ear o d.achieve
obstruction Lion of
grease discharges from grease interceptors. If, during impact onr the
a sewer main(s) occurs that causes a sewerl w or failure of the verflo-w to the sanit�'yt that � ecollection
environment is realized and that said overflow grease
system to convey sewage can be attributed in part or in whole lato an
faccumul tiono f s
in the sewer main(s),the Town of Wallace will take appropriate aga
inst on
stipulated in the Town's Sewer er Use Ordinance, Section 8 (Enforcement),
the
p
generator or contributor of such grease.
rovided
g. Access manholes,with a minimum diameter of 24 inches, shall be pextend at
over each grease interceptor chamber and sanitary tee. The access manholes shall
least to finished grade and be designed and maintay ined
to pre covers 5 water faciw or
litate inspection,
infiltration. The manholes shall also have reaactivities. Manhole covers must be traffic rated
grease removal, and wastewater sampling a weight class of less than
coversare
to be of g
if place within any parking areas. Manhole
100 pounds.
F. Grease Trap egai ennents
1. Upon approval by the Public Works Director, a grease trap complying with
the provisions of this section must be installed in the waste line leading
fromease sinks,
b rams,
inand other fixtures or equipmentfood service establishments awht an
�effect line stoppage or
introduced into the drainage or sewage system in quantities
hinder sewage treatment or private sewage disposal.
2. Grease Traps sizing and installation shall conform to the Uniform Plumbing
Code or other applicable plumbing code used by local agency.
ogrease trap shall be installed which has a stated rate flow of ore et than
3 N ss (20) gallons per minute, p
fifty-five (55) gallons per minute,nor
°Works Director.
specifically approved by the P

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4. Grease traps shall be maintained in efficient operating conditions by periodic
anoval of the accumulated grease. No such collected grease shall be introduced into any
:ainage piping, or public or private sewer.
5. No food waste disposal unit or dishwasher shall be connected to or discharge
.to any grease trap.
6. Wastewater in excess of one hi in dred-forty(140) degree Fahrenheit/(60)
gree Cellulous shall not be discharged into a grease trap.
7. Except as provided herein,for a period of one (1) year following adoption of
s ordinance, although installation of grease traps will be required to be installed,no
.brcement actions will be taken under this Ordinance for failure to achieve limits on
ase discharges from grease interceptors. If, during this one year period an obstruction of
ewer main(s) occurs that causes a sewer overflow to the extent that an impact on the
rironment is realized and that said overflow or failure of the sanitary sewer collection
Lena to convey sewage can be attributed in part or in whole to an accumulation of grease
lie sewer main(s), the Town.of Wallace will take appropriate enforcement actions, as
elated in the Sewer Use Ordinance, Section 8 (Enforcement), against the generator or
Lributor of such grease.
•
Grease Interceptor Maintenance,Record Keepimr, and Grease Removal
Users shall install grease Interceptors as required by the Town of Wallace. Grease
Interceptors shall be installed at the User's expense, when such User operates a
Cooking Establishment. Grease Interceptors may also be required in non-cooking
or cold dairy and frozen food service establishments and other industrial or
commercial establishments when they are deemed necessary by the Wallace Public
Works Director for the proper handling of liquid wastes containing Grease. No
User shall allow wastewater discharge concentration from subject Grease
Interceptor to exceed 100 milligrams per liter. All Grease Interceptors shall be of a
type, design, and capacity approved by the Town of Wallace and shall be readily
and easily accessible for User cleaning and Town inspection. All such Grease
Interceptors shall be serviced and emptied of accumulated waste content as required
in order to maintain Minimum Design Capability or effective volume of the Grease
Interceptor, but not less often than every thirty (30) days. Users who are required
to pass water through a Grease Interceptor shall:
a. All oil and grease, water and solids separators (grease traps)required in this
section shall have a ac caP ty i and design in compliance with the following
equations:
1) Restaurants:
(S)X(20)x(.ER/12)x(LF)=capacity in gallons
S =number of seats in dining area
7�R =number of hours open
LF =loading factor:

1.2,1/Recreational areas
0.8 Main highways
0.7 Other highways
2) Hospitals,nursing hones,other types of kitchens with varied seating
capacity:
M x(5)x(Lr)=capacity in gallons
M=meals per day
L1 =loading factor
1.0 With dishwasher
0.5 Without dishwasher
grease trapshall be smaller than 750 gallons, no single
Except that er than 3,000 gallons and where requirements exceed
separator shaall l be larg
3,000 gallons multiple units shall be used. In cases of certaine q tides of
restaurants or establishments with potential to discharge seat may be
grease and oil, capacity requirements greater than 25 gallons per
by the
required. Prepackaged or manufactured grease traps may be approved
Town with proper engineering and application review.
acc,,mulated Grease cap and sludge pocket as required,but at
b. Remove any
intervals of not longer�than thirty (30) days at the Users expense. Grease
s grit,
Interce tors shall be kept free of inorganic solid materialsia s ch•aw�chroks,
gravel, sand, eating
p utensils, cigarettes, shells,towels,
settle into this pocket and thereby reduce the effective volume of the Grease
Interceptor. said
c. Operate the Grease Interceptor in a manner so as
toaclmai ed` Cons itent"s shall
such
that attainment of the grease limit is consistently
mean any wastewater sample taken from said Grease
e Interceptorin (Gt shal. Ifa be
subject to terms of numerical limit attainmentdescribed
previously established business desires,becauseG documented te Interceptor,space request
constraints, an alternative to an out-of:building information:
an alternative location shall contain the following
i. Location of Town sewer main and easement in relation to
available exterior space outside building. h,mbing
ii. Existing plumbing at or in a site that uses common p
for all services at that site.
d. Understand an
agree that: The use of biological additives as a Grease
degradation agent� not permissible.
e. Understand and agree that: The use of automatic Grease the va systems
is
conditionally permissible,upon prior written approval by n County
Lead Plumbing Inspector of the Town of*Wallace,this and
theequi Dupli
hall operate
Department of Health. Any establishmentusing
the system in such a manner that attainment of th
e Grose was stetewaterveved.
discharge limit, as measured from the unit outlet,
f. Understand and agree that: The Director reserves the right to make

determinations of Grease Interceptor adequacy and need, based on review of
all relevant information regarding Grease Interceptor performance, facility site
and building plan review and to require repairs to, or modification or
replacement of such traps.
2. The User shall maintain a written record of trap maintenance for three(3)years.
All such records will be available for inspection by the Town at all times.
3. No non-grease-Iaden sources are allowed to be connected to sewer lines intended
for Grease Interceptor service.
cess manholes, with a minimum diameter of 24 inches, shall be provided over each
mbar and sanitary tee. The access manholes shall extend at least to finished grade and
lesigned and maintained to prevent water inflow or infiltration. The manholes shall also
e readily removable covers to facilitate inspection, Grease removal, and wastewater
piing activities. Manhole covers must be traffic rated if place within any parking areas.
thole covers are to be of a weight class of less than 100 pounds.
FOG Variance
1. The Town of Wallace Public Works developed a variance study to allow
preparation and service establishments an avenue to provide substantial evidence so as
iuce maintenance of the grease interceptor as required by the Town of Wallace FOG
Zance.
2. A food preparation/service establishment can apply for a variance to the
luled service requirements of the Town of Wallace FOG Control Ordinance. A food
ration/service establishment that believes the service schedule of once every thirty
.s excessive, and feels that the grease interceptor service frequency can be extended,
ut violating the FOG Ordinance can apply. Food preparation/service establishments
vish to use biological or chemical additives for the removal of fats, oils, and grease
i grease separation device or a plumbing system may also apply for a variance to the
schedule.
a. A copy of the Town of Wallace Grease l(nferceptor Service Schedule
Variance Request Form can be obtained from the Town of Wallace and
completed. The request form must be signed by the food preparation/service
owner(s).
b. Read,understand, and agree with the Town of Wallace Grease Interceptor
Service Schedule Variance(SeeAppendixA),and the Town of Wallace Grease
Interceptor Service Schedule Variance Request Form,(SeeAppendixB).
•

'c. • Mail,a completed
Town of Wallace Grease Interceptor terrceptorr Service Schedule
Variance Request Form a to:
Town of Wallace
Public Works Department
Pretreatment Section
P.O.Box 5410'
Wallace,NC 25466 '
d.
The Town of Wallace will review all variance request forms and vaniancetact t e
food preparation/service establishment accepting or rejecting
request. The food preparation/service establishment
durece mayt ontacahorized a grease
by the
Town of Wallace to begin the variance study
C
for cleaning.
interceptor service provider to schedule a grease interceptor '
e. The food preparation/service establishment must contact the
oo the grease
of
Wallace Public Work Department two (2) working daysp
interceptors schedule cleaning. .
f. Additional monitoring events or pollutants may be required if D peed eeiied
necessary by the Town of Wallace PublicWork
studies shall not exceed a period of ninety (90)) days.
li
g. After a minimum of three (3) site samples Publicp 11W iks D partme ected and all �W gl
results are obtained,the Town of Wallace
analyze all data. After all data is reviewed by the Town,the he fownty will
submit in writing the results of the variance study only
requesting said.study.
This ordinance shall be in full force and effect
On the day of , 2005
FIRST READING: ,2005.
SECOND READING:_---- ,2005.
PASSED this day of 2005.
AYES:
NAYS:
ABSENT:
NOT VOTING •
:
APPROVED this �•.1 day of` r„4"2005.
•,ems y°"T .'• ' '°'.- .' .g,P:
of Wall 4 "..;
MAYORof the Town �'`��'�;=�-:Y;�''.��:�_ �-:.<�..� f.: •
, • •: a', TXf= ;�::::
City Clerk {..i:',„;•.; •:
ATTEST: �( (ter](r[/IJrA (Seal) �_ ,� ,:.. -5 ''
dayof005. `1t :•. "., i:,-;
Published the ,2 • ` ` :"i' ``,. _
• :.;.•'ir%:..r: ..%,,,i".• .Y'
..•'...ki:'k

APPENDIX A.
•

e Jl'�'YYfl vx • "'•-�""'
' . Grease Interceptor Service Schedule Variance
A varianc
e to the scheduled service requirement of the Town of Wallace Fats, Oils, and
Grease Control Ordinance is to provide specific changes to the scheduling of
grease interceptor maintenance and servicing. Said.
variancee substantial intend d ted o give
as fo to
od
preparation/service establishments an avenue to pro
reduce maintenance of the grease interceptor. Said variance T a off es to the Sewere eduling
of grease interceptor servicing. All other requirements of
the Use
Ordinance, FOG Control Ordinance, and any other requirements remain in effect.
Fees
ease
Food preparation/service establishments shall cn�.pF�le�e��a�o�Wallace a written explanation
Interceptor Service Schedule Variance Request
for the need to vary from the FOG Control Ordinance.procedures,the Town of W l establishments lla e has
a
variance shall agree to confomi to the variance study p
the right to discontinue the variance study at any tim the
gd etsmterc interceptor discharge
adversely affects the sanitary sewer collection system
s.
Upon evaluation of pertinent conditions relative to grease interceptor service schedule
variance issues;Fees associated with the request for a variance
study will pcl dests an initial
variance request fee of$195.00,which includes estop
with Town of Wallace personnel and travel expenses��esstudyer analysis fees will be
All samples analyzed by
associated with each sample collected during thev� e
contract laboratories will include the cost of analysis b rd a 20%the Town mo istrat lane at ve fee.
The of
food preparation/service establishment will be billedy
the variance study. The Town of receives paymelace nt
not en�in fixll•fox the •inant a grease itial variance rceptor request
schedule variance until the Town p ym
fee, all wastewater analysis costs, administrative fees and said2-ny costs incurred
variance are nby the
und f
Wallace as a result of said study. All fees associated with
Pretreatment staff`* will log all study findings bmit a copy tothe food preparation/service
Interceptor Variance Study Sheet an
establishment after each grease interceptor inspection.
Discontinuation of Variance Study
At any time after a variance is granted and the back toll quiremenng occurs,�s set forth by the Town of e food
preparation/service establishment shall
Wallace FOG Control Ordinance.
• Grease interceptor FOG concentrations exceeding limits set by Town of Wallace FOG
Control Ordinance.
• Grease interceptor discharge adversely affects the sewer collection system and treatment
works.
Pagel of •

Town of Wallace
Grease •
rease lfnierce1uitor Service Schedule Variance
Solids accumulation is greater than 20 percent(20%) of the total water depth from
Tease interceptor's interior floor to the static or working water level, at any point within the
Tease interceptor.
FOG accumulation is greater than or equal to three (3) inches at any point within the
rease interceptor.
•
Facility significantly increases food service production, seating capacity, or menu
:lection.
Facility that employs the use of a garbage disposal or food pulper that is connected to
e grease interceptor.
Causes or contributes to a sanitary sewer blockage or overflow.
Change in ownerhip. Variance is non-transferable and only applies to the facility stated
the variance approval letter granting a grease interceptor service extension.
nditioans and Schedules
. food services establishments requesting variance to the FOG Ordinance shall conform
:he following conditions and schedules.
1. Food preparation/service establishment owner(s)^shall complete a Town of
Wallace Grease Interceptor Service Schedule Variance
n Request Forma d
q n
provide the Town of Wallace, written explanation as to the need of service
schedule variance.
2. Food preparation/service establishment owner(s) agree that any request for
variance is considered and implemented under the discretion of the Town of
Wallace and can be denied for any reason.
3. Food preparation/service establishment shall conform to the pumping
schedule set by the Town of Wallace during the variance study. Failure to
follow pumping requirements will result in variance study discontinuation.
4. Food preparation/service establishment agrees to the pumping schedule after
the variance study is completed, even in the event, the Town of Wallace
requires a service schedule greater than once every thirty (30) days.
5. Food preparation/service establishment shall contract and arrange with a
grease interceptor service provider a pumping schedule that will meet the
conditions of said variance.
6. Food preparation/service establishment shall contact the Town of Wallace
Public Works,Pretreatment,two (2) working days prior to the scheduled
interceptor cleaning..
Page 2 of 3

' ToWIR of Vjallaee
Grease 1ra1i:ex cepit:Drr Service Schuh&Variance
desire the use of biological or
7. Food preparation/service establishments the Townat of Wallace all information
chemical treatment provide solution makeup, dosing schedule, and
. supplied by the manufacturer of type,
service agreements. All Food preparation/service
es
establishments
maintan using
s interceptor
biological or chemical treatment shall be required
service set by the Town of Wallace FOG Ordinance or Town of Wallace
Variance Study.
rdi
nance
. 8• During the variance study, all limits and conditions
will be addressedO O ing andapply. All violations of the FOG Ordinance
after the variance study.
p 9.
Food reparation/service establishment agrees to pay the initial variance
request fee,wastewater analysis costa result trative fees, and any
,
d m�fs conducting the variance
costs
incurred by the Town of Wallace as
study.
The Town of
Wallace will not be responsible for any FOG discharges, odor or blockages
during or after the variance study.
** Pretreatment Staff shall consist of Town of Wallace employees or individuals authorized
by the Town of Wallace.
society, coiToration,
A
erson s individual, firm, company, association, tY
Owner(s) Any p ( )' the building or stl-u.cttv:e containing the
public coiToxation or group upon whose property of a food
food service establishment is located. 0wner(s) shall also include o a theo thereof, containing
ng
service establishment who may lease the building, structure,
of
s
the food service establishment. Thus includes anyone ltocated te tenor bitten or e o n' of
jurisdictional its that contributes causes or permits
into the POTW,including persons who contribute such wastewater from mobile
wastewater
sources, such as those who
discharge hauled wastewater.
Page 3 of 3

' I
. „
1
APIPENDDKIH
•

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Town of Wall ce
Grease JinterceptOr Service Schedule
Variance Request Form
A food mu must preparation/service,establishment who requests a grease interceptor is service
schedule
variance must complete this form arid submit to the Town of Wallace
-Pretreatment Section P.O.Box 849 on ace act,the PrNC etreatment Section at(910)
8466.If there are any
questions concerning this form,p
Department lease feel free to c
285-2812 or(910)285-4136.
1. Company Name
a) FacilityNarne:
b) Corporate Name:
2. Facility Address:. Street
City:.--
State: Zip:
3. Business Mailing Address: Street:
City:�—
State: Zip:
4. Facility Contact Name: Phone. Fax:
E-mail: Phone: Fax: E-mail:
Corporate Contact:Name:
planation for the need to vary from the Town of Wallace Fats, Oils, and
6. Wri tten ex p
Grease Control Ordinance. (Attach Separate letter)
7. Food preparation/service establishment hours of operation:
A)Months of operation:
B) Days of operation:
C) Hours of operation:
Mon: —Tues._________
Wed:____Thurs:
Fri:___—Sat: _Sun:
8. Total number of employees at food preparation/service establishment:
Shift#1: Shift#2:---Shift#3:___
9. Provid
e information on Grease Separation Device(s): (Attach additional sheet if
necessary)
Location:
Size (capacity):
Manufacturer:
Model#:
Page 1of4

Town of Wallace Grease se Interceptor Service Schedule Variance l4 aM
Location:
Size (capacity):
Manufacturer:
Mo del#:
3iological/Chemical Treatment used in plumbing system:
YES NO
?S, attach all information supplied by the manufacturer of type, solution make up,
g schedule, and service agreements.
•
:ovide Maintenance/Service Information:
ency of service:
:onducts service:
y describe how maintenance is conducted:
ease interceptor service company information (pumper,renderer, biological, etc.):
any Name:
.t Name:
ale as it appears on Water/Sewer Bill:
City: Service Address:
y State:
Zip:
lag Address (if different):
City: State: Zip:
all major equipment used for food preparation, (ie: grills,fryers, woks, etc.) include
d capacities if applicable:
Page 2 of 4

:awn,of Wallace Grease Interceptor Servi ceScheduleValianceRequest NMI
List kitchen fixture locations,intended use,number of compartments, size, (ie: prerinse,
16. Li garbage disposal, etc.)
1-2-3-4 compartment wash sinks, can wash,prep sinks, dishwasher, b g p
Size
Item No. • Location Intended Use Compartment
s ( 224x12,
(ex. wash, (ex. 1,2,3,4) ex.
prep. .)
10gpm)
1
2
3
4
5 •
6
7
8
9
10
11 •
17. Does your facility contain grill
l and/or fryer exhaust hoods?
YES NO
If YES,how often do you have cleaned:
If YES,briefly describe how the hood system is cleaned and how the wastewater is
disposed:
18. Total seating capacity:
19. Does your facility ever utilize catering or off-site food preparation companies to provide
meals? _YES NO of soiled dish/cools
If YES, are any of the kitchen sink fixtures utilized for the washing
ware? YES —NO,
20. Axe there any other companies permitted to use your kitchen facilities? YES
NO
If YES,please list company/person(s)name:
21. Submit a copy of the breakfast,lunch, and/or dinner Menu along with this variance
request form.
of the indoor and outdoor plumbing plans,these plans
22. Provide an up to date copy removal equipment, sinks,
should include facility sewer connections,floor drains, greasebe acceptable
restrooms, etc. Blue prints are acceptable; a to scale hand drawn copy may
in some cases.
Page 3 of 4

a
Town of Walsic,e Grease jutcyceptorService,Schedule%Aimee Request Fonn. 7 .
a completing this survey, I (Print) , understand and hereby
gree to the terms and conditions of the Town of Wallace Grease Interceptor Service
chedule Variance and the Town of Wallace Grease Interceptor Grease Interceptor Service
chedule Variance Study Procedure.
certify under penalty of law that this document and all attachments were prepared under
iy direction or supervision in accordance with a system designed to assure that qualified
:rsonnel properly gather and evaluate the information submitted. Based upon my inquiry
the persons who manage the system, or those persons directly responsible for gathering
e information,the information submitted is, to the best of my knowledge and belief,true,
curate, and complete. I am aware that there are significant penalties for submitting false.
forn.ation,including the possibility of fine/or imprisonment for knowing violations.
•
;nature of Authorized Representative Date
•
nted Name of Authorized Representative
•
•
Page 4 of 4

Is d.1 GIi'easle (FOG)
`r '/ent L �� from Damaging Your Hom , and the EnVfronMent
.r.. :X Fats oils, and grease aren't just bad for your arteries and your waistline; they're
ee bad
for
r:�l.?
,:4 sewers too, Sewer overflows and backups can cause health bazar g
ome
interiors, and threaten the environment. The second leading cause of all seWer overflows
is grease blockages,
;� ocka es, Grease can get into the sewer from household drains as well as
..,
.IT1i}j:;i, from poorly maintained grease traps in restaurants and other businesses,
a grease come from?
know grease is a byproduct of cooking. Grease is found in such things as:
its •
g oil .,..it--
,.;t,�Isf.•,. 'S.' ' .
ling ;14..:, :T. •=F1 '
and margarine r',s ; r:,a:,:'- 'r::hi1.:
craps • • .l•ri`•o:%4.,i:f:,•
goods ,•';,,.,Vlrki,l aaN1v
and soups '
)roducts
d never
down the drain. Many people tease is washed into the plumbing system usually through the kitchen sink
ent down the houldin only
g are unaware that pouring hot water and 9
ms
n
grease temporarily. Grease'then moves further down the sewer line eand d can
on cause property and
is, When grease gets into a sewer line it sticks to the iblocdes of the kthe entirei pipe. The results can be:
ets). Over time, the grease will build up and eventually
,ewage overflowing into homes, yards or/and strebeets
aid for by the homeowner
pensive and unpleasant cleanup that often mustp
Jle contact with disease-causing organisms
;cease in operation and maintenance costs by the Town, which causes higher sewer bills for
Tiers, : •
1 can do to help •
r pour grease down the sink drains and toilets, juice can empty milk carton), Place the
small amounts of grease into anon-cr before disposalable container g the trash.
river in the refrigerator to harden the greaseots, utensils, and cooking surfaces,
.e washing,•scrape grease and food scraps from plates, p
a9g
arba e disposals do not keep grease out of the plumbing system. Never put grease at cla m to di rbage
)sals, Be cautious of chemicals and additives (including soaps and detergents)a► c clog the sewer lines, ',
3e, Some of these additives simply pass grease down-pipes where
iore information, please call 910-285-2812 .

�'°6=���1u`����110�6�td 6 R !S ONLY .. EWE.
SY'S-EM
formation
•
provide you with suitable wastewater your disposal, home is se►ved by a low pressure sewer system.
ollects all solid materials and effluent from the house. The solid materials are then ground to a small
le for pumping as slurry with the effluent water. The grinder pump generates sufficient pressure to
Murry from your home to the wastewater treatment receiving line and/or disposal plant,
•
Ise
r system is capable of accepting and pumping a wide range of materials. Regulatory agencies
the following items should not be introduced into any sewer, either directly or through a kitchen
)sal unit:
Seafood shells Diapers, socks, rags or cloth
Kitty litter Plastic objects (toys, utensils, straws, etc.)
)ne Feminine Hygiene Products
you must never introduce into the any sewer: •
Strong chemicals Flammable material
• Lubricating oil Cooking grease or oil
Is Food debris Beauty Aids (Q-Tips, cotton balls, etc.)
re
;r pump cannot dispose of.wastewater without electrical power, If electrical power service is 1
keep water usage to a minimum.
•
-e9Alarm
r pump has been manufactured to produce an alarm signal in the event of a high water level in the •
alarm signal is to provide adequate warning to the user that service is required. During the interim I
arrival of an authorized service technician, water usage must be limited to the reserve capacity of
•
Li
•