WQ0041782_Application (FTSE)_20200701

DWR
Division of Water Resources
7-1 State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .03 0 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: W U U q t � 0 A (to be completed by DWR) ( J�. e6�
All items must be completed or the annlication will be returned ,,,� V_w
I. APPLICANT INFORMATION:
I- Applicant's name: VIMA LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ IndividuaI ® Corporation ❑ General Partnership
❑ Federal ❑ StateiCounty ❑ Municipal
3. Signature authority's name: Jim Mathewson per 15A NCAC 02T .0106h
Title: Member/Manager
4. Applicant's mailing address: 106 South Nash Street
City: Hillsborough State: NC Zip: 27278-
5. Applicant's contact information:
Phone number: (919) 6384027 Email Address: [e-mail]
gmail.com
IT. PROJECT INFORMATION:
4 AL'' `+
❑ Privately -Owned Public Utility
❑ Other
0� cx S
I. Project name: VIMA. LLC - Sidewalk & Sewer Improvements
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
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If a modification, provide the existing permit number: WQ00 and issued date:
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If new construction but part of a master plan, Provide the existing permit number: WQ00�
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3. County where project is located: Orange
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4. Approximate Coordinates (Decimal Degrees): Latitude: 36.076015 Longitude: -79.1 I3l 13�
5. Parcel TD (if applicable): 9864665555
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(or Parcel ID to closest downstream sewer)
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III. CONSULTANT INFORMATION:
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1. Professional Engineer: Chad E Abbott License Number: Q6242
Firm: C3 Design & Engineering. PLLC
Mailing address: PO Box 0361
City: Creedmoor State: NC Zip: 27522-
Phone number: [phone] Email Address: chad(@c3designcng.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Town gf Hillsborough Permit Number: NCO026433
Owner Name: Town of Hillsborough
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size. inch
System Wide Collection System Permit Numb er{sl ofanplk4: 1gj: WQCS00077
Owner Name(s): Town of Hil Isborough
FORM: FTA 04-16 Page I of 5

VI. GENERAL REQUIREMENTS
L If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached'?
[:]Yes ❑'silo EK A
2. If the Applicant is a Developer of lots to be sold, has a Deg eloper's Q-erstional At ret2ment r I �.7[t�l: DF N,- P been attached?
® Yes ❑No ❑NIA
3. If the Applicant is a Home Isru erty Ounce:.' :\.;uci,lunn, has .in Operational A ,rcement (T (")[Z%l 110,A 1 been attached?
❑ Yes [-]No ®NIA
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 i dental / veterinary facilities ❑ Swimming Pool ;'Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming PoollFilter Backwash
❑ Businesses 1 offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic+'Commercial % Commercial
%Industrial (Set 15A NC \C 02-r AI()-1200
L_ bIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under t 5 A NC':\('02T 01 1410? []Yes ®No
> - If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(h)
Daily Design Flow',b
No. of Units
Flow
Single Family Residential (4 Lots with 4
BR/Lot)
120 gaIBR
16
1,920 GPD
gall
GAD
gall
GPD
gall
GPD
gall
GPD
gal'
GPD
Total
1,920 GPD
a See I A '�C'r\C' 0"T' .Ol 14(h). Idi. Let l) ,111(l (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 Waterway 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 .1 iA NC.\C' ('2T.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: 1 M GPD (per I ; \ NC \(' W F_ f11 14)
> 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):

r
VII. GRAVITY SEWER DESIGN CRITERIA (if Applicable) - 02T .0305 & MDC (Gravity Sewers):
I . Summarize gravity sewer to be permitted.
Size (inches) Length (feet) Material
6 403 PVC Pipe
D Section IT & TIT of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section TIT contains information related to minimum slopes for gravity sewer(s)
D Oversixing 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)_
Y Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D 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.
D Tf 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 l A `,,(.'A _ 0021 .!L305(tl & l ® Yes El No
D 15A NCAC 02T.0305(f) contains minimum ci+nnr�tinnc thnt chnll h. .;.4 ,1 r .
Setback Parameter*
Sc aratian 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-1 waters of Class i or
Class II impounded reservoirs used as a source ofdrinking 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)
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
50 feet
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
i- l SA NCAC 02T.0305 contains alternatives where separations in 02T.01051 t-1 cannot be achieved.
i- "Stream classifications can be identified using the Division's NC Surface %VLaer Cl;aj.aticauon; ti�ehp_aTe
> Ifnoncompliance with 02 r.0305 tl ur 9► see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N;A
> Seethe 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
y 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 NC'. \C 02H OO'!uJ' ❑ Yes ❑ No ® N.:A
3- This would include Trout Buffered Streams per 15A\ NC \C 2B.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 L Buller 11cmilualt�! Branch
5. Does project comply with I 1- \C',1C o2T 0I+)�L}i--) (additional permits/certifications)? ® Yes [:]No
Per 15 \_NCAC 02T.0I li(c)(0 , 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 ISA NCAC03 r.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 ❑ NIA
D 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.

X. CERTIFICATIONS:
Does the submitted system comply with I SA NCAC 02T, the Minimum Design_ Criteria for the Permitting of Pump Stations
and Force Mains (latest version) and the Gravit ry 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.
Professional
� Engineer's Certification:
I, C _I/U1 - 4A
Engineer's name from Application Item III.1.)
that this application for
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 ]Plains (latest version). Although other professionals may have deveioped 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 S I0,000, as well as civil penalties up to S25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):11 , p
1,— Mf,S Arlo Wso�► / ►Gh
(Signature Authority's name & title from Application`dem I.3.)
C A R p(♦��Ay
;d SEAL �
e'y Ise at this application for
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 Iand 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.
c '1VV v
/o — Za Z O
Signature: Date: b `
FORM: FTA 04-16 Page 5 of 5

DESIGN &
ENGINEERING, PLLL
CLIENT -FOCUSED • COMPREHENSIVE • COST-EFFECTIVE
June 30, 2020
NCDEQ— Raleigh Regional Office
Attn: Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699
919-791-4200
2537 E. L YON STATION RD, STE 102
PO BOX 361
CAWEDH00R, NC 27522
910425.7368
�cDeAt o�E��ir
JUG _ onmental Quality
1��
;`clef
gb Re
gfo12al 0 fplC@
RE: 20-024 VIMA, LLC—119&121 North Nash Street, Hillsborough, NC 27278
Fast Track Sewer Extension Submittal #1
Enclosed are the following documents:
QTY
DESCRIPTION
REM BY
(1) ACTION REQV
or (2) FYI ONLY
2
A - Application
(1)
1
B — Cover Letter
(2)
1
C—Application Fee
(2)
1
D — Proof of Registered Business
(2)
1
E - FTSE
(2)
1
F — Site Maps (USGS Topo Map, Aerial Map)
(2)
1
J _Operational Agreement
(2)
1
K—Approved Plans
(2)
ACTION REQ'D:
(1) Review and approve
Please do not hesitate to contact us should you have any questions or comments regarding the
contents.
Regards,
Allison Averette
C3 Design & Engineering, PLLC
[e-mail]
J:\cabbottlDD-PROJECTS\2020\20-024\CIVIL - 20-024\Submittals\2620-XX-XX Dwit - Alternative Sewer Extension\Docs\2020-06-30
Transmittal.doa 1

LIMITED LIABILITY COMPANY ANNUAL REPORT
■
10/2017
NAME OF LIMITED LIABILITY COMPANY: VIMA LLC
SECRETARY OF STATE ID NUMBER: 1752716 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2020
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: United States Corporation Agents, Inc.
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
6135 Park South Drive Ste 510
6135 Park South Drive Ste 510
Charlotte, NC 28210 Mecklenburg Charlotte, NC 28210 Mecklenbur
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS:
2. PRINCIPAL OFFICE PHONE NUMBER: 919 638-4027 3. PRINCIPAL OFFICE EMAIL:
4. PRINCIPAL OFFICE STREET ADDRESS
106 S Nash St.
5. PRINCIPAL OFFICE MAILING ADDRESS
106 S Nash St.
Hillsborough, NC 27278 Orange Hillsborough, NC 27278 Orange_
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NC Dept of Hnvirttinlnzntul Qutllity
.j1JL -1 2020
1w0igh Regional WOO
NAME:
TITLE:
►T11101CT*�13
SECTION D: CERTIFICATION OF ANNUAL REPORT, Section D must be completed in its entirety by a persontbusiness entity.
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form.
DATE
Print or Type Name of Company Official Print or Type Title of Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200
MAIL TO- Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-1$)
Entity Requesting Allocation: VIMA, LLC
Project Name for which flow is being requested: VIMA, LLC
Mare than one FTSE may he required for a single project !f the owner of the W1r7'P is not responsible jar all pump
stations along the route of the proposed wastewaterJlow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of Hillsborough WWTP
b. WWTP Facility Permit #: N00026433
A11 lows are in MGD
C. WWTP facility's permitted flow
3.0
d. Estimated obligated flow not yet tributary to the WWTP
0.29 t of E.Virontnell
e. WWTP facility's actual avg, flow
1.029
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
.001920
1.32
h. Percent of permitted flow used
44
h RH O ()&q
11. Complete this section for each pump station you arc responsible for along the route of this proposed
wastewater flow.
List pump stations Iocated between the project connection point and the WWTP:
(A) (B)
(C) (D)=(B+C)
(E)=(A-D)
Design
Obligated,
Pump Pump Average Approx.
Station Station Firm Daily Flow** Current
Not Yct Total Current
Tributary Flow Plus
(Name or Pcrmit Capacity, * (Firm 1 pt), Avg. Daily
Number) No. MOD
Daily Flow, Obligated
Available
MOD Flow, MOD
MOD Flow
Capacity"',
* 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):
Downstream Permit Number:
Page l of 6
r7 C, r: 1 1I IV

M. Certification Smiement:
I K. Nhirie Straodwitz. PE certify to the hesE of in}• knowledge (hat the addition of
the %Oluille of wastewater to be permitted in this proicct h.-s bec,t eN aluated along, the route to the receiving
wastewater treatment facility and that the flow fra"1 this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any d011n5treatll ptunp 51t1tiun en route to the receiving
treatment plant tinder normal circumst�utccs. given the implementation of the planned improvements
identified in the plawling assessment %%here applicable. I his anal)sis has been peribmled hi accordance
with local established policies and procedures using the hest available data. This certification applies to
those items listed above in Sections I and 11 plus all artached planning assessment acldendums liar which I
am the responsible pam•. Signature of this iorn1 certifies that tite recei, ing collection s) stem or treatment
works has adequate capacity to transpurl and treat Elie proposed new wastewaler.
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Robinson, Jason
From: Allison Averette <[e-mail]>
Sent: Tuesday, August 4, 2020 7:52 AM
To: Chad Abbott; Robinson, Jason; [e-mail]
Subject: [External] RE: VIMA, LLC - Sidewalk & Sewer Improvements
Hxterral email, Do notaJiek lia��cs of open atfaaisrrfents unless.you verily. Send all suspleious erica€I as an attach mento
;f ��4�i.ip 8r1i � rtG ,�2oy
Jason,
Mr. Matthewson would like the HOA to be named VIMA.
Allison Averette
Project Assistant/Designer
C:3101ESIGN &
ENGINEERING, }LLC
2537 E Lyon Station Rd, Suite 102
P.Q. Box 361
Creedmoor, NC 27522
919.625.7368 (office)
828.302.6107 (mobile)
From: Chad Abbott <[e-mail]>
Sent: Sunday, August 2, 2020 3:14 PM
To: Robinson, Jason <[e-mail]>; [e-mail]
Cc: Allison Averette <[e-mail]>
Subject: RE: VIMA, LLC - Sidewalk & Sewer Improvements
Good Afternoon Jason, please see answers below:
1. Yes, the Mr. Matthewson is building the sewer extension to replace some existing services and provide for
additional services such that he can sell the new lots.
2. 1 will let Mr. Matthewson respond, if not I will reach out to him and get that info for you.
Thanks much, have a good week.
Regards,
Chad E. Abbott, PE
Principal Engineer
C310ESIGN &
ENGINEERING, PLLC
2537 E. Lyon Station Rd. —Ste 102 (Physical)
P.O. Box 361(Mailing)

Creedmoor, NC 27522
919.625.7368
From: Robinson, Jason <[e-mail]>
Sent: Friday, July 31, 2020 3:14 PM
To: Chad Abbott<[e-mail]>; leadershir)access62(@gmail.com
Subject: FW: VIMA, LLC - Sidewalk & Sewer Improvements
I'm resending the email below, I typed Mr. Mathewson's email wrong on my first try.
From: Robinson, Jason
Sent: Friday, July 31, 2020 3:06 PM
To: Chad Abbott <chad c3desi nen ,com>; [e-mail]
Cc: Cashion, Ted <[e-mail]>
Subject: VIMA, LLC - Sidewalk & Sewer Improvements
Mr. Mathewson and Mr. Abbot,
We are reviewing the sewer application for the referenced project.
Item V1.2 was check "Yes" for the developer to sell lots, and a Developer's agreement was included in the submittal.
1. We first wanted to confirm that the developer will be selling the lots after the construction is complete.
2. The Developer's Agreement was not complete, as it did not have a name for the future HOA (Item 5) that the
permit will be transferred to upon completion of the project. A name should be provided.
Thanks,
Jason
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality,Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
"'Subscribe to Collection System & Sewer Permitting Updates"
E-mail correspondence to and from this address may be subject to the North Carolina Public Records ta,1 and may be disclosed to
third ponies.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.