HomeMy WebLinkAboutWQ0043426_Application (FTSE)_20220420Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: W Q 00 LI 3 4" Pfe, be completed by D\R;
All items must be completed or the application hill be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Al Never, LLC (company. municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual k:4 Corporation ❑ General Partnership ❑ Privately•Owned Public E:tility
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name. Jim Murphy per ISA NCAC 02 .0106th)
Title: Senior Project Nlanaaer
4. Applicant's mailing address: 302 W. Third Street Suite 800
City: Cincinnati State: OH Zip: 25202
5. Applicant's contact information:
Phone number_ (919) M-2014 Email Address: imurph(cimcver.com
11. PROJECT INFORMATION:
1. Project name: West Ten Industrial
2. Application/Project status: ® Proposed (New Permit)
❑ Other
.1C(e;V( /zoIiz_
�cstr�w++
ReV►P�, deol
0 Existing Permf .Project
If a modification, provide the existing pen -nit number: WQ00 and issued date:
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQOO
3. County where project is located: Orange
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.0678' Longitude:-77.2205.
5. Parcel ID (if applicable): (or Parcel ID to c'oscst downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: Tim Summerville License Number. 036418
Firm: Stewart
Mailing address: 101 West Main Street
City: Durham State: NC Zip: 27701-
Phone number: (919) 866-4794 Email Address: tsummcrvilic(risstewartiiic.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: City of Mebane WRRF Permit Number: NC0021474
Owner Name: City of Mebane
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQn/a
2. Downstream (Receiving) Sewer Information: 12 inch !J Gravity ® Force Main
3. System Wide Collection System PennitNumber(s) (if applic. ble). WQCS000081
Owner Name(s): City of Mebane
FORM: FTA 06-21
Page 1 of5
VI. GENERAL REQUIREMENTS
1. lithe Applicant is a PrivatelyOwned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No 1/ NIA
2. if the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: D1=V) been attached?
❑ Yes No ❑ NIA
3. lithe Applicant is a I lomerProperty Owners' Association, has an ITOArPOA Operational Agreement (FORM: I iOA) and
supplementary documentation as required by 15A NCAC 02T.0I 15(c) been attached?
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owned)
❑ Residential (Leased)
❑ School ! preschool / day care
❑ Food and drink facilities
® Businesses; offices / factories
❑ Yes ❑ No Ir N/A
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical/ dental! veterinary facilities
❑ Church
❑ Nursing Home
❑ Car Wash
❑ Hotel androrMotels
❑ Swimming Pooli'Clubhousc
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : % Domestic %Commercial 100 % Industrial (See 15A NCAC 021 .0103(20))
if Industrial, is there a Pretreatment Program in effect? 0 Yes® No
6. Ilas a flow reduction been approved under 15A NCAC 02T .0114111? ❑ Yes ® No
If ves, provide a coDY of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow 'Lb
No. of Units
Flow
Factories
25 gal?employee per shift
300
7,500 GPD
Warehouse
100 gal/loading bay
32
3,200 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal!
GPD
Total
10,700 GPD
a Scc I5A NCAC 02T .0114(b). (d), (e)(Il and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses: public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Pcr 15A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 10,700 GPD (per I SA NCAC 02T .01 14)
Do not include future flows or previously permitted allocations
if permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
O Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21
Page 2 of 5
ViI, GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity SewcrA):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
9
PVC
> Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Y Section IIi contains information related to minimum slopes for gravity sewer(s)
• Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIi1. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF TI-IIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: West Ten Industrial
2. Approximate Coordinates (Decimal Degrees): Latitude: 36.0678 Longitude: -77.2205'
3. Total number of pumps at the, pump station.
3. Design flow of the pump station. 0.0107 millions gallons per day (firm capacity)
> This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): 85 gallons per minute (GPM) at 198.94 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
3
1103
PVC
If any portion of the force main is less than 4-inches in diameter, please identify the me hod of solids reduction per
MDCPSFM Section 2.01 C.I .b. ® Grinder Pump ❑ Mechanical Bar Screen 0 Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(0�,i ?:
❑ Standby power source or ❑ Standby pump
> Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(fi)_
> 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 and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
• Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
> Include documentation that the portable source is owned or contracted by the applicant 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
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15,1 NCAC 02T .0305(f)):
I. Does the project comply with all separationslaltcr.atives found in I SA NCAC 02T .0305(t1 & (g)? ® Yes ❑ No
I5A NCAC 02T.0305tf? contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Watcr mains (horizontal)
I0 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, ir.ctuding any wells, WS-I waters of Class i or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
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 associated with these waters (see item IX.2)
50 feet
'Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WI..
I 0 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
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
> If noncompliance with 021.0305f11 or (g). see Section X.1 of this application
*I SA NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications AN ebpage
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
> If no, please refer to 15A NCAC I8C.0906(f) for documentation requirements and submit a separate document,
signedrsealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Docs the project comply with separation requirements for wetlands? ® Yes ❑ No ❑ NrA
> Please provide supplementary information identifying the areas of non..conformance.
> See the Division's draft separation requirements for situations where separation cannot be met.
> No variance is required lithe alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? 21 Ycs Basin name: Ncuse River ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No
> This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwidclindividual permits ❑ Ye.s ® No
or 401 Water Quality Certifications?
Y Please provide the permit number/permitting status in the cover letter if coveragclauthorization is required.
6. Does project comply with ISA NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Ycs 0 No
Per I SA NCAC 02T.0105(c)(6), directly related environmental permits or certification applications must be 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, stonnwater management plans, etc.).
7. Docs this project include any sewer collection lines that are deemed "high priority?" ❑ Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to strcambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
> 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 permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5
X. CERTIFICATIONS:
Does the submitted system comply with 1 SA NCAC (127', the Minimum Design Criteria for the Permitting of Pump Station,
and Force Mains (latest version), and the Gravity Sewer Mfinimum Design Criteria (latest version) as applicable?
® Yes ❑ No
if no, for projects requiring a single variance, complete and subnvt the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and projects requiring a variance approval may be subject to longer
review times. For proiects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
I, Tim Summerville . attest that this application for West Ten Industrial
(proi'ess:onal Eit,.:neer's name from Application Item 111.1.) (Project Name from Application Item ll.l )
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. 1 further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Pennnting
of Purnp Stations and Force Mains (latest version 1. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that i have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE - In accordance with General Statutes i43-215.6A and 143-215.6R, 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. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina. licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per I5A NCAC 02T ,0106(b):
E, _ _ —� .tJs, \`��.�Z t, , attest that this application for
(Signature Authority Name fratApplicaiion Item 1.3.1
(Project Name front Application item 11.1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
1 understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments arc 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. 1 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.GB, any person who knowFngly 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 S10,000 as well as civil penalties tip to $25,000 per violation.
Signature:
Date: ' U 12
FORM: FTA 06-21 Page 5 of 5
Pump Station
(Name or
Number)
SERegional
DWR.
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Mebane
Project Name for which flow is being requested: West Ten Industrial
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I.
Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Mebane
b. WWTP Facility Permit #: NC0021474
All flows are in MGD
c. WWTP facility's permitted flow 2.5
d. Estimated obligated flow not yet tributary to the WWTP 0.421
e. WWTP 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
1.692
0.0107
2.1236
85°0
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design
Average Approx. Obligated, Total
Daily Current Not Yet Current Flow
Firm Flow** Avg. Daily Tributary Plus
Capacity, * (Firm / pf), Flow, Daily Flow, Obligated
MGD MGD MGD MGD Flow
Pump
Station
Permit
No.
2.500 1.002 0.228 0.150
Available
Capacity***
0.378 0.624
* 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
(pt) 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): City of Mebane
Downstream Permit Number: WQ0038635
Page 1 of 6
FTSE 10-18
III. Certification Statement:
I Chris Rollins certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
2W\
Signing O:cial Signature
e___,\ vk 04 \ t‘
Title of Signing O cial s
'- /-) /2022_
Date
Page 2 of 6
FTSE 10-18
STEWART
West Ten Industrial
City of Mebane, Orange County, North Carolina
The referenced site is located along the south side of West Ten Road just to the east
of Buckhorn Road in Mebane, NC. The sanitary sewer extension is to be built to
serve two separate industrial warehouse buildings. Below is a table estimating the
flows for this system at the ultimate build -out.
TOTAL
PHASE
USE
#
UNIT
G/D/SF
FLOW
(gal/u/d)
(gal/day)
1
Factories
300
Employee/shift
25
7,500
2
__ Warehouse
32
Loading bay
100
3,200
Sub Total 10,700 gal/day
The flows generated from all phases is what is being requested at this time.
The sewer outlet from this site is an existing 12" forcemain in West Ten Road. A lift
station is proposed to pump the wastewater generate from the site into the existing
forcemain. The pump station has been designed to overcome the pressures within
the existing forcemain. To accommodate power Toss, a standby generator will be
onsite with manual activation and quick -connect receptacle.
STRONGER BY DESIGN
101 WEST MAIN ST. T 919.380.8750
DURHAM, NC 27701 F 919.380.8752
STEWART
LETTER OF TRANSMITTAL
TO
NCDEQ - DWR
NC Dept of Environmental Quality
APR 2 0 2022
Raleigh Regional Office
FROM
FTSE PERMITTING AND REVIEW
3800 Barrett Drive
Raleigh, NC 27609
DATE
SENT VIA
1 TIM SUMMERVILLE
(919) 866-4794
04.20.2022
Hand Delivery
PROJECT NUMBER
PROJECT NAME
C20047 l West Ten Industrial
COPIES DATE DESCRIPTION
COMPLETED FTSE APPLICATION
FLOW TRACKING APPLICATION
COVER LETTER
STREET LEVEL MAP
USGS MAP
CHECK FOR $480
For approval ❑ For review & comment
For your use 4❑ Approved as submitted
As requested Approved as noted
COMMENTS
Returned for corrections
Returned after review
Resubmit copies for approval
Please find enclosed Fast Track Sewer Application and all supporting documents
including plans and submittal fee. Contact me at 919.740.3397 or
tsummervilleo stewart:nc.com if additional information is required.
SIGNED COPIED TO
File
STRONGER BY DESIGN
101 WEST MAIN ST. T 919.380.8750
DURHAM, NC 27701 f 919,380,8752
Date: 3/24/22
Time: 8 : 56
Ahern Rentals
To: AP CUSTOMER CONTACT
Company: AL NEYER LLC
Message: updated Quote
From: JULIE WYNNE
Location: AHERN RALEIGH
Phone: 919-809-6350
Fax #: 919-809-6352
SEND PAYMENTS TO:
AHERN RENTALS
PO BOX 271390
LAS VEGAS NV 89127-1390
TEL: 702-647-8100
FAX: 702-647-9866
1
QUOTE
** COPY **
Customer:
AL NEYER LLC
302 W 3RD ST STE 800
CINCINNATI OH 45202-3426
Job Site:
WEST TEN INDUSTRIAL
6056 W TEN RD
MEBANE, NC 27302-7277
C#: 513-527-1854 J#: 513-527-1854
Page: 1
CUSTOMER ASSISTANCE:
AHERN RALEIGH
2506 YONKERS RD
RALEIGH NC 27604-2241
TEL: 919-809-6350
FAX: 919-809-6352
MON - FRI 6:00-5:00
SATURDAY CLOSED
SUNDAY CLOSED
Customer #
Contract #
Contract dt
Date Out
Est return
Job Loc
Job #
P.O. #
Ordered By
Written By
Sales Rep
LTerms
343255
24717342
3/24/22
3/25/22 12:00 PM
4/22/22 12:00 PM
WEST TEN INDUSTRIAL;6056 W
WEST TEN INDUSTRIAL
QUOTE
GUNNER QUOTE/JDW
JW22235
20750 - GUNNER DEAL
Net 10 Days
(Qty Equipment
Min
Day
Week 4 Week
Amount
1 GENERATOR,36KW,45KVA,DSL,TOW
EQP#: 2153428
CUSTOMER CALL WHEN DONE
SALES ITEMS:
Qty Item number
1 TRF OUT
TRANSPORTATION REGULATORY FEE
1 TRF 1N
TRANSPORTATION REGULA"ORY FEE
1 160642
ENVIRONMENTAL CHARGE
DELIVERY CHARGE - NORMAL
PICKUP CHARGE - CUSTOMER CALL WHEN DONE
235.00
:BD
Taxable Sub -total: 1786.25
Unit
EA
EA
EA
235.00 525.00 1250.00
Price
15.000
15.000
18.750
3/25/22 12:00 PM
Rental -total:
Rental Protection:
( 7.50%) Tax:
1250.00
15.00
15.00
18.75
150.00
150.00
1598.75
187.50
133.98
CONTINUED
IF THE EQUIPMENTS} DOES NOT WORK PROPERLY, IMMEDIATELY
DISCONTINUE USE AND NOTIFY CUSTOMER ASSISTANCE AT ONCE
MULTIPLE SHIFTS OR CUSTOMER IS RESPONSIBLE FOR
OVERTIME RATES MAY APPLY REFUELING, DAMAGES OR REPAIRS
1. Absent proof cd insurance provided to Lessor for the Equipment. Customer must elect Lenora Ron1e1 protection Program,
2. Customer must contact Customer Assistance to obtain call o11 rental number and is responsible Ir the Equipments) anti: it is picked up within a commercially reasonable time
3. If Customer fails to return equipment within the time specified above, Customer is deemed to have renewed the rental contract on the same Isms and Conditions.
4. Compliance with Calilomia Air %sources Board ICAF6) Idling Regulation (Title 13. Celifomia Code of Regulaaiond § 2449(0L3)): Any in -use oll-road diesel vehicle may not idle for more than 5 consecutive minute*. Lessee is responsible
for compliance with UAFIII3 olf.mad diesel angina Iding hinds and is responsible for arty penalties or fines incurred for non-compliance.
5. Please see Paragraph 18 0l the Terms and Conditions of the Rental Cut Contract (the 'Terms and Condit one'; for specifics on the agreed -upon locum selection clause that governs this Contract.
This Rental Out Contract consists of this !rant page and the Tans and Conditions. I have had the opportunity to read the negotiated Tame and Condit one of This F%nta Out Contract and have been instructed in the proper use and
operation Of the Equipment(s) delivered and will ensure that all operators receive this training and the instructions contained in the manufacturers operation manual, a copy of which has been provided with the Equipm.rt(4). which will
be read by each operator I have been familiarized with the location. purpose and !unction o1 atI ;a) operating Controls, (b) safely devices, and (c) manuals of the specific Equipments) rented herein I have reed and understood the
instructions provided. and all questions have been answered to my satisfaction.
By signing below, I reproved ad warrant that I an d legal age, f an vested with the wdhar ty and power to dgn Ilea IYmel Out Confront on ball! cd the Customer, end I an eulhor%ed to bid the Customer to the tonne set teeth
herein. and the Tans end Conditions of the Rental era Contract.
X
CUSTOMER SIGNATURE
DATE NAME PRINTED
DELIVERED BY DATE
Terms: Payment Due within 10 days of Invoice. A finance charge of 2% per month will be added to past due accounts.
Please visit us on the web at www.Ahem.com or you may call our 24 hour service at 800-400-1610.
SEND PAYMENTS TO:
AHERN RENTALS
PO BOX 271390
LAS VEGAS NV 89127-1390
TEL: 702-647-8100
FAX: 702-647-9866
QUOTE
** COPY **
Page: 2
CUSTOMER ASSISTANCE:
AHERN RALEIGH
2506 YONKERS RD
RALEIGH NC 27604-2241
TEL: 919-809-6350
FAX: 919-809-6352
MON - FRI 6:00-5:00
SATURDAY CLOSED
SUNDAY CLOSED
Customer:
AL NEYER LLC
302 W 3RD ST STE 800
CINCINNATI OH 45202-3426
Job Site:
WEST TEN INDUSTRIAL
6056 W TEN RD
MEBANE, NC 27302-7277
C#: 513-527-1854 J#: 513-527-1854
Customer #..
Contract #..
Contract dt.
Date Out
Est return..
Job Loc
Job #
P.O. #
Ordered
Written
By
By
Sales Rep
`Terms
343255
24717342
3/24/22
3/25/22 12:00 PM
4/22/22 12:00 PM
WEST TEN INDUSTRIAL;6056 W
WEST TEN INDUSTRIAL
QUOTE
GUNNER QUOTE/JDW
JW22235
20750 - GUNNER DEAL
Net 10 Days
(Qty Equipment
Min
Day
Week 4 Weak Amount)
Total:
This Quote expires on 04/23/2022
192 .. •
IF THE EQUIPM ENT(S) DOES NOT WORK PROPERLY, IMMEDIATELY
DISCONTINUE USE AND NOTIFY CUSTOMER ASSISTANCE AT ONCE
MULTIPLE SHIFTS OR CUSTOMER IS RESPONSIBLE FOR
OVERTIME RATES MAY APPLY REFUELING, DAMAGES OR REPAIRS
S. Absent proof of insurance provided to Lsesor 1or the Equipment, Customer mud dad Lessors Rental Protection Program.
2. Customer mud contact Customer Assistance to obtain cell oft angel number and is responsible for the Equipments) until it is picked up within a commercially reasonable time.
3. 11 Customer fails to return equipment within the time specified above. Customer is deemed to have renewed the rental contract on the same tams and conditions.
4. Compliance with Cailomut Air Resources Board (CAFE) Idling RguLition (Title 13, California Code of Reguidione: 3 24494 11(3)): Any in -use off -road diesel vehicle may not idle for more than 5 consecutive minutes Lessee is responsible
for compliance with CAFE off-roed diesel engine idling limits and is responsible for any penalties or fines incurted for non.compeance.
5. Reese see Paragraph la of the Tame and Conditions of the %Ma Out Contract (the 'Terms and Conditions') ter specilics on the agreed -upon lonim selection clause that governs this Contract.
This Rental Out Contract Consists of this Iron page and the Terms and Conditions I have had the opportunity to read the negotiated Terms and Conditions of this Rental Out Contract and have been instructed in the proper use and
operation of the Equipments) delivered and will ensure that all operates receive this training and the instructions Contained in the manufacturers operation manual, a copy of which hes been provided wilh the Equipmenl(s), which will
be read by each operator. I have Wean familiarized with the location. purpose, and f unction o1 an (a) operating controls, (b) sedgy devices, and (c) manuals of the specific Equipment(s) rained herein. I have read and understood the
instructions provided. and d1 questions have been answered to my waist action.
By dgning below, I .preen end warrant that I sitar of lega age, 1 am vested with IF* authority sod power le sign this Riedel Out Contract on bsha6 of the Customer, act I an atha5ed to bid Cho Galena to Ise tams sit forth
huNn, and the Torras and Conditions of the Rudd Out Contract.
X
\ CUSTOMER SIGNATURE
DATE NAME PRINTED
DEUIVEFIED BY DATE
Terms: Payment Due within 10 days of invoice. A finance charge of 2% per month will be added to past due accounts
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