WQ0041935_Application (FTSE)_20200831

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvlsion of Water Resources FTA 04-I6 & SUPPORTING DOCUMENTATION
r iApplication Number: U0 � 3 S {to be by DWR) -3
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: 3921 S Miami LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State.:County ❑ Municipal ❑ Other
3. Signature authority's name: Michael A. Hinderliter per 15A NCAC 02T .0106Ib}
Title: Manaeer
4. Applicant's mailing address: 2435 S. Alston Avenue rr , �L
City: Durham State: NC Zip: 212L< � � � f t � C C • 0 � �
5. Applicant's contact information: t
Phone number: [phone] Email Address: michael urbanim ort.com
IL PROJECT INFORMATION:
1. Project name: 3921 S. Miami Blvd Building Expansion
2. AppIication/Project status: ® Proposed (New
p (N Permit) ❑Existing Permit/Project �s u
If a modification, provide the existing permit number: WQ00, and issued date: a
If new construction but part of a master plan, provide the existing permit number: WQ00 C` 4
3. County where project is located: Durham M ,o
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.90743 Longitude:-78.84962 5:
5. Parcel ID (if applicable): 157347
Cn
(or Parcel ID to closest downstream sewer) °A
.�
w CS
III. CONSULTANT INFORMATION:
C?
I . Professional Engineer: David L. Dunn License Number: 15395 Z
Firm: Bass. Nixon & Kennedy. Inc.
Mailing address: 6310 Chanel Hill Rd., Suite 250
City: Raleigh Sate: NC Zip: 27607-
Phone number: [phone] Email Address: david-dunn(@,bnkinc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Triangle Wastewater Treatment Plant Permit Number: NCO026051
Owner Name: Durham County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQUnknown Downstream (Receiving) Sewer Size: 12 inch
y_stem Wide Collcclion System Pen -nit Number(s (if applicable]: WQCS00038
Owner Name(s): Durham Count
FORM: FTA 04-16 Pagel 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 ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Develop"'s Operatio al Agreement (FORM: DEV) been attached?
❑ Yes [-]No ®NSA
3. If the Applicant is a Home -Property Owners' Association, has an x:rational Atreement (FQ y: HOAR 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! dentaI:: veterinary facilities ❑ Swimming Pool iClubhouse
❑ 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 02'1..0103(20I)
bIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0I 1 ? ❑ Yes ®No
If yes, provide a cony of flow reduction apuroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0I 140
Daily Design Flow .,b
No. of Units
Flow
Warehouse
100 gal/loading bay
5
500 GAD
General Business/Office
25 gal/employee/shift
175
4,375 GPD
gau
GPD
gall
GPD
gall
GPD
gall
GPD
Total
4,875 GPD
a See 15A NCAC 02T _01 14fb), (d), (e) f 1) andheJ(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 6.5. 42A-4).
b Per 15A NCAC 02T .0I 14(c), design flow rates for establishments not identified [in table 15 A NCAC .02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 4.875 GPD (per 15A NCAC 021.0114)
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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 351.41 PVC
D Section lI & 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: K A
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
N;'A
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(L):
❑ 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):
S 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

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations found in 15A NCAC 02T .0305(1) & {
15A NCAC 02T.0305(t) contains minimum senarations that chill he nrnvuterr Pnr cnu,Pr evo
® Yes ❑ No
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-1 waters of Class I or
Class II impounded reservoirs used as a source of drinking 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 slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage s stems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
D 15A NCAC 02T.0305(c) contains alternatives where separations in 02T.03050 cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classificalions_webpuge
➢ If noncompliance with 02T.0305 (o nrJ1,,h 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
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 15,E 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 Permittin , Branch
5. Does project comply with 15A NCAC 02T.0105(c)L(s) (additional permits. -certifications)? ®Yes ❑ No
Per 15A NCAC QTQT.0105(c)i6), 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, e(c.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 021t',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

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A. NCAC 02T, gn Crit the Minimum Desieria for the Permittin of Pump stations
and -Force Mainsilatest versionl, and the Gravity Sewer Minimum Design Crileria {latest vcrsi 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 re uest is re vired prior to submittal orthe Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
1, ���' t J 1. - t�`"• r� attest that this application for
(Professional Engineer's name from Application Item II1,1.)
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 he 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 Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
T
........... ....... _...... ...
M1111py� i
GAIN 11
ES81 �''s.=
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15395
31.
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attest that 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 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 6f3, 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 SI0,000 as well as civil penalties up to $25,000 per violation.
Signature: eo Date:
FORM: FTA 04- l 6 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Ilk;.,i„#, „R WoLn P ; , , Flow Tracldng for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: 3921 S Miami, LLC
Project Name for which flow is being requested: 3921 S. Miami Blvd Building Ex ion
More tkan one ME may be required for a single project if the owner of the t3 R P is not responsible for all pum p
stations along the route of the proposed wastewater f Jmw.
1. Complete this section only if you are the owner of the wastewater treatment plant
a. WWTP Facility Name: Triangle Wastewater Treatment Plant
b. WWTP Facility Permit #: NCO026051
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTI' facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are In MGD
12
1.798
3.562
0.004875
5.365
44.7
11. 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)
Design
Average
Pump
Pump
Daily
Station
Station
Firm
Flow"
(Name or
Permit
Capacity, •
(Firm / pfl,
Number)
No.
MGD
MGD
Stirruplron
6.50
2.60
(B)
(C)
(D)-(B+C)
(E)-(A-D)
Approx.
Obligated,
Total
Current
Not Yet
Current Flow
Avg, Daily
Tributary
Plus
Flow,
Daily Flow,
Obligated
Available
MGD
MGD
Flow
Capacity***
1.142
0.459
1.601
0.999
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 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 5 0.
Downstream Facility Name (Sewer): Durham County Sewer W
Downstream Permit Number; WQCS00038
Page 1 of 6
FTSE 10-18

111. Certification Statement:
1 `4d 4-Anlo_ 'Dx' I { certify to the best of my knowledge that the addition of
the volwn'�'of wastewater"Ito be tted 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 U plus all attached planning assessment
addendum for which I am the responsible party. Signature of this form certifies that the receiving
collection system or treatment works has adequate capacity to transport and treat the proposed new
wastewater.
Signing Of ctat Signature Q ' Dato
�4
Title of
Page 2 of 6
FTSE 10-18

SOSID: 1745975
Date Filed: 8/31/2018 9:12:00 AM
Elaine F. Marshall
North Carolina Secretary of State
C2018 242 00590
Limited Liability Company
ARTICLES OF ORGANIZATION
OF
3921 S MIA11iI, LLC
Pursuant to §57D of the General Statutes of North Carolina, the undersigned does hereby submit these
Articles of Organization for the purpose of forming a limited liability company.
I . The name of the limited liability company is: 3921 S MIAMI, LLC
2. The limited liability company is not to dissolve by a specific date, and its duration shall be
perpetual.
3. The name and address of the organizer executing these articles of organization is as follows:
MICHAEL A. HINDERLITER
2435 S. ALSTON AVENUE
DURHAM, NC 27713
4. The name of the registered agent is: MICHAEL A. HINDERLITER
5. The street address, mailing address, and county of the registered office of the limited liability
company is as follows:
Street address: 2435 S. ALSTON AVENUE
DURHAM, NC 27713
County: DURHAM
6. The street address of the limited liability company and the principal office of the limited liability
company is:
2435 S. ALSTON AVENUE
DURHAM, NC 27713
DURHAM COUNTY, NC
The mailing address of the limited liability company and the principal office of the limited
liability company is:
2435 S. ALSTON AVENUE
DURHAM, NC 27713
DURHAM COUNTY, NC
7. This Limited Liability Company shall be a MANAGER MANAGED LLC: except as provided
by N.C.G.S. Section 57D-3-20(a), the members of this limited liability company shall not be
managers by virtue of their status as members.

8. No Manager of the company shall have personal liability arising out of an action whether by or in
the right of the Company or otherwise for monetary damages for breach of any duty as a
Manager, provided however, that the forgoing shall not limit or eliminate the personal liability of
a Manager with respect to (i) acts or omissions that such director at the time of such breach knew
or believed were clearly in conflict with the best interests of the Company, or (ii) any liability
under North Carolina General Statues for unlawful distributions.
Furthermore, notwithstanding the forgoing provision, in the event that the North Carolina General
Statutes are amended or enacted to permit further limitation or elimination of the personal
liability of a Manager, or by way of inference or interpretation a director of a corporation„ the
personal liability of the Company's Manager shall be limited or eliminated to the fullest extent
permitted or allowable by the applicable law.
This article shall not affect a provision permitted under the North Carolina General Statues in the
articles of organization, operating agreement or contract or resolution of the company
indemnifying or agreeing to indemnify a manager against personal liability. Any repeal or
modification of this article shall not adversely affect any limitation hereunder on the personal
liability of a Manager with respect to acts or omissions occurring prior to such repeal or
modification.
The Manager of the LLC shall be as follows:
MICHAEL A. HINDERLITER
2435 S. ALSTON AVENUE
DURHAM, NC 27713
11. These Articles of Organization shall be effective upon filing. Executed on this the 29th day of
August, 2018.
ORGANIZER:
ICHAEL A. HINDERLITER

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Produced by the United States Geological Survey I JJ
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BASS, NIXON & KENNEDY, INC., CONSULTING ENGINEERS
6310 CHAPEL HILL ROAD, SUITE 250, RALEIGH, NC 27607
919/851-4422 ■ FAX [phone] [e-mail]
August 31, 2020
NCDEQ — Division of Water Resources
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
VC peAt of ien virbnm
enral Quality
Aug 3
,
R `gl ona1 Office
Re: S. Miami Blvd Building Expansion
3921 S. Miami Boulevard, Durham, NC
Fast Track Sewer System Extension Application
To Whom It May Concern:
The site for the proposed sanitary sewer extension is located at 3921 S. Miami Boulevard in
Durham, North Carolina (PIN 0748-45-23-8701). The site is located on the east side of S
Miami Boulevard, north of Chin Page Road and south of Patriot Drive and is within the City
of Durham City Limits. The proposed site improvements include the construction of two
new buildings, expanding the existing building and additional parking/sidewalks. The Phase
1 building (Building 2) includes approximately 50,000 SF and the Phase 2 building (Building
3) includes approximately 23,200 SF. The overall site improvements include the addition of
5 loading bays for warehouse space with 90 employees. This application is for permitting of
approximately 351 LF of 8" PVC sanitary sewer and 4,875 gpd of domestic wastewater
discharge.
The following information is included for review and approval:
• Fast track application for the proposed sewer extension (original and one copy)
• Check in the amount of $480.00 for processing fee
• Documentation that corporation is registered for business with the North Carolina
Secretary of State
• Flow Tracking/Acceptance Form (FTSE 04-16)
• USGS Map showing site location
• Aerial Street Level Map showing project location
Please let us know if the attached will be acceptable or if you have any questions/comments
concerning the submittal package. Thanks for your help.
Very truly yours,
Bass, Nixon & Kennedy, Inc.
Davi L. Dunn, PE
Principal Engineer