WQCS00121_FY 2017-18_20190806

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,.� 316 EAST MURRAY STREET o WALLACE, NORTH CAROLINA 284.66 o PHONE:[phone]
X _ TOWN COUNCIL
TOWN CLERK FINANCE OFFICER
MAYOR
'` David E.Jordan,Mayor Pro-Tem
Ve •' Jackie Nicholson Tracy Chestnut
Jr i:l,i Charles C.Farrior,Jr.
�+ 1• � Frank Brinkley
William Jeffrey Carter TAX COLLECTOR TOWN ATTORNEY
TOWN MANAGER Greg S.Cave Kathy B.Hubbard Richard L.Burrows
Matthew S.Livingston David Warren Hepler
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RECEIVED/NCDEA/DWR
TOWN OF WALLACE AUG 0 6 pig
' COLLECTION SYSTEM REPORT
Water Quality
Permitting Secflon
PERMIT#WQCS00121
FY: 2.ol•z - ie
The Town of Wallace currently has a collection system permit#WQCS00121 that
consists of approximately 60 miles of sewer lines and 23 lift stations. The Town
purchased a sewer modeling system to run for all new connections. The
wastewater collected ih 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.
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 connection
E. Two generators in stock and three by-pass pumps in stock.
F. All outfall lines are mowed twice annually.
G. Pump run times are logged in daily
H. Twelve (12) lift stations has scada.
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 currently have dialers on all
•
p1Rasant... progrs5iVi... prospzrous
FAX:[phone] EMAIL: [e-mail] o WEB: http://www.townofwallace.com
The Town of Wallace is an equal opportunity provider and employer.

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 back up ORC is Ricky Raynor. His is also a
Grade 4 and his license# 988754.
If you have any questions concerning this report; please feel free to contact me at 910-
285-2812 (office) or my cell 910-284-3874.
Sincerely,
Anthony Colon
Public Services Director
Attachment:
FOG Ordinance
Pipe Inventory
List of lines cleaned

0A-LAA-P-ai
'Town of Lime
areases Comiro:
Oldfina,nce
(FOG)

TOWN OF WALLACE
FOG (Fats,'Oils, and Grease)
CoIntrrol] Ordinance
•
Scope and Purpose
D 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
a.y be amended from time to time. All are sometimes referred to herein as "Grease" or
ireases".
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
iitary sewer collection and treatment system. These devices also serve to collect
:tleable solids, generated by and from food preparation activities,prior to the water
iting the trap and entering the sanitary sewer collection and treatment system. Grease
ps and Interceptors are sometimes referred to here in as "Grease Interceptors".
Cooking Establishments. Those establishments primarily engaged in activities of
;paring, serving, or otherwise making available for consumption foodstuffs and that use
of more of the following preparation activities: Cooking by frying (all methods),
cing (all methods), grilling, sautéing,rotisserie cooking, broiling (all methods),boiling,
nching, roasting, toasting, or poaching. Also included are infrared heating, searing,
:becuing, and any other food preparation activity that produces a hot, non-drinkable food
)duct in or on a receptacle that requires washing.
Non-Cooking Establishments. Those establishments primarily engaged in the
:paration of precooked foodstuffs that do not include any form of cooking. These include
:not limited to cold dairy and frozen foodstuffs preparation and serving establishments.
Minimum Design Capability. The design features of a Grease Interceptor and its
lity or volume required to effectively intercept and retain Greases from grease-laden
stewaters discharged to the public sanitary sewer.
User. Any person(s),individual, fnn, company, association, society, corporation,
;anization,public corporation or group upon whose property the building or structure
itaining the food service establishment is located. Owner(s) shall also include the
ner(s) of a food service establishment who may lease the building, structure, or a portion
red, containing the food service establishment. This includes anyone located outside of
Town's jurisdictional limits that contributes causes or permits the contribution or

discharge Of wastewater into the POTW, including persons who contribute such wastewater
from mobile sources, such as those who discharge hauled wastewater.
7. POWT Staff. (POWT Staff)Public Owned Wastewater Treatment staff shall consist of
Town of Wallace employees authorized by the Town of Wallace.
8. Hydraulic Load. At a minimum shall consist of all one,two,three and four
compartment wash sinks filled to seventy-five percent(75%) capacity and being drained
simultaneously,prerinse sink operating at maximum flow,plus any dish or glass was
machine or other drainage fixture unit being operated at maximum rated performance
levels.
C. Food Service Establishment Permit Requirement
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 NorthCarolina 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
Works Director for grease interceptor sizing prior to submitting plans for building permit.
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
building peuuit. '
(All existing food service establishments, determined by the Public Works Director
to have a reasonable potential to adversely impact the Towns 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 unless the Public Works Director authorizes the
installation of an indoor grease trap or other alternative pretreatment technology and
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 trapwhe
re 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.

•
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. Pexmit.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. Penuit to operate grease interceptor device will be issued once approval is
given by Wallace Public Works Director and Duplin County Health
Department.
II Discharge Limitations •
No User shall allow wastewater discharge concentration from subject grease
rceptor, grease trap or alternative pretreatment technology to exceed that in accordance
i the Town's Sewer Use Ordinance Section 2.3 and Town's Fog Control Ordinance
tion E.
Grease 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 minimum of two compartments with fittings
gned for grease retention.
3. Grease interceptor shall be installed at a location where it shall be easily
ssible for inspections, cleaning, and removal of intercepted grease. The grease
ceptor may not be installed in any part of the building where food is handled. Location
e grease interceptor must meet the approval of the Public Works Director.
4. All such grease interceptor shall be serviced and emptied of accumulated
e content as required in order to maintain Minimum Design Capability or effective
me. These devices should be inspected at least monthly by user. Users who are
ired to maintain a grease interceptor shall:
a. Provide for a minimum hydraulic retention time in accordance with
the Uniform 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 into this picket and thereby
reduce the effective volume of the device.
5. The user shall maintain a written record of inspection and maintenance for
three (3) years. All such records will be made available for on-site inspection by
representative
of the Town of Wallace during all operating hours of user.
(. Sanitary wastes are not allowed to be connected to sewer lines intended for
grease interceptor service.
7. Except as provided herein, for a period of one(1)year following adoption of
this ordinance, although installation of grease interceptors will be required to be installed,
no enforcement actions will be taken under this Ordinance for failure to achieve limits on
grease discharges from grease interceptors. If, during this one year period an obstruction of
a sewer main(s) occurs that causes a sewer overflow to the extent that an impact on the
environment is realized and that said overflow or failure of the sanitary sewer collection
system to convey sewage can be attributed in part or in whole to an accumulation of grease
in the sewer main(s),the Town of Wallace will take appropriate enforcement actions, as
stipulated in the Town's Sewer Use Ordinance, Section 8 (Enforcement), against the
generator or contributor of such grease.
8. Access manholes, with a minimum diameter
access manholes shall extend at
be provided
over each grease interceptor chamber andsanitary
least to finished grade and be designed and maintained to prevent water inflow or
infiltration. The manholes shall also have readily removable covers to facilitate inspection,
grease removal, and wastewater sampling activities. Manhole covers must be traffic rated
if place within any parking areas. Manhole covers are to be of a weight class of less than
100 pounds.
F. Grease Trap Requirements
1. Upon approval by the Public Works Director, a grease trap complying with
the provisions of this section must be s alld i eiestablisthe hmeste lnts where greasemay bine leading fr sinks, drains,
and other fixtures or equipment in food
e
introduced into the drainage or sewage system in quantities that can effect line stoppage or
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.
3 No grease trap shall be installed which has a stated rate flow of more than
fifty-five (55) gallons per minute,nor less than twenty(20) gallons per minute, except when
specifically approved by the Public Works Director.

4. Grease traps shall be maintained in efficient operating conditions by periodic
moval 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 hundred-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
forcemeat actions will be taken under this Ordinance for failure to achieve limits on
ease discharges from grease interceptors. If, during this one year period an obstruction of
ewer mains) occurs that causes a sewer overflow to the extent that an impact on the
vironment is realized and that said overflow or failure of the sanitary sewer collection
item to convey sewage can be attjibuted in part or in whole to an accumulation of grease
the sewer main(s),the Town•of Wallace will take appropriate enforcement actions, as
?ulated in the Sewer Use Ordinance, Section 8 (Enforcement), against the generator or
itributor of such grease.
•
Grease Interceptor Maintenance,Record Keepin6, and Grease Removal
1. 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 capacity and design in compliance with the following
equations:
1) Restaurants:
(S)X(20)x(}UJ12)x(LF)=capacity in gallons
S =number of seats in dining area
HR =number of hours open
LF =loading factor:

1.2'7 Recreational areas
0.0 Main highways
0.7 Other highways
2) Hospitals,nursing homes,other types of kitchens With varied seating
capacity:
M x(5)x ELF)=capacity in gallons
M=meals per day
LF=loading factor
1.0 With dishwasher
0.5 Without dishwasher
Except that no grease trap shall be smaller than 750 gallons,no single
separator shall be larger than 3,000 gallons awhere certainrequirements
fast food exceed
3,000 gallons multiple units shall be used of
restaurants or establishments with potential to discharge large quantities
grease and oil, capacity requirements greater than 25 gallons per seat may be
required. Prepackaged or manufactured grease asse traps
pew may
be approved by the
Town with proper engineering and apple
b. Remove any accumulated Grease cap and sludge pocket as required,but at
intervals of not longer than thirty (30) days at the Users expense. 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 into this pocket and thereby reduce the effective volume of the Grease
Interceptor.
c. Operate the Grease Interceptor in a manner so as to maintain said device such
that attainment of the grease limit is consistently d Grease Interceptor shall be shall
mean any wastewater sample taken from
subject to terms of numerical limit attainment described in (G) (1). If a
ce
previously established business an out of-building Grease documented
lintercepto tithe request
constraints, an alternative
for an alternative location shall contain the following information:
i, Location of Town sewer main and easement in relation to
available exterior space outside building.
ii. Existing plumbing at or in a site that uses common plumbing
for all services at that site.
d. Understand and agree that: The use of biological additives as a Grease
degradation agent is not permissible.
e. Understand and agree that: The use of automatic Grease removal systems is
conditionally permissible, upon prior written approval by the Director, the
Lead Plumbing Inspector of the Town of Wallace, and the Duplin County
Department of Health. Any establishment
of the this Grease s a hall operate
the system in such a manner that attainment
discharge limit, as measured from the unit's outlet, e consistentlto y
lCachieved.
f. Understand and agree that: The Director reserves g

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-laden 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
amber and sanitary tee. The access manholes shall extend at least to finished grade and
designed and maintained to prevent water inflow or infiltration. The manholes shall also
ae readily removable covers to facilitate inspection, Grease removal, and wastewater
npling activities. Manhole covers must be traffic rated if place within any parking areas.
whole 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
d preparation and service establishments an avenue to provide substantial evidence so as
educe maintenance of the grease interceptor as required by the Town of Wallace FOG
finance.
2. A food preparation/service establishment can apply for a variance to the
eduled service requirements of the Town of Wallace FOG Control Ordinance. A food
JarationJservice establishment that believes the service schedule of once every thirty
s is excessive, and feels that the grease interceptor service frequency can be extended,
lout violating the FOG Ordinance can apply. Food preparation/service establishments
wish to use biological or chemical additives for the removal of fats, oils, and grease
a a grease separation device or a plumbing system may also apply for a variance to the
ice schedule.
•
a. A copy of the Town of Wallace Grease Interceptor 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(See Appendix Al and the Town of Wallace Grease
Interceptor Service Schedule Variance e e t R qu s Form,(SeeAppendixB).
•

•c: ••Mail;a•completed Town of Wallace Grease Interceptor:Service Schedule
Variance Request Form to:
Town of Wallace
Public Works Department
Pretreatment Section
P.O.Box 849
Wallace,NC 28466 •
d. The Town of Wallace will review all variance request fowls and contact the
food preparation/service establishment accepting or rejecting the variance
request. The food preparation/service establishment once authorized by the
Town of Wallace to begin the variance study procedure may contact a grease
interceptor service provider to schedule a grease interceptor cleaning.
e. The food preparation/service establishment must contact the Town of
Wallace Public Work Department two (2) working days prior to the grease
interceptors schedule cleaning.
f. Additional monitoring events or pollutants may be required if deemed
necessary by the Town of Wallace Public Work Department. Variance
studies shall not exceed a period of ninety (90) days.
g. After a minimum of three (3) site samples are collected and all sampling
results are obtained,the Town of Wallace Public Works Depatt,n.ent will
analyze all data. After all data is reviewed by the Town, the Town will
submit in writing the results of the variance study only to the facility
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 .A day of Ct_it A±2005.
MAYOR, of the Town of Wall
ATTEST: )( f., L/r (Seal) City Clerk ..,,y,,,,;
Published the day of , "% =' ;

AP?1N,1` T1 A

Jl owi tin vv
. Grease Interceptor Service Schedule Variance
A variance 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 variance is intended to give food
preparation/service establishments an avenue to provide substantial evidence so as to
reduce maintenance of the grease interceptor. Said variance only applies to the scheduling
of grease interceptor servicing. All other requirements of the Town of Wallace Sewer Use
Ordinance, FOG Control Ordinance, and any other requirements remain in effect.
Fees
Food preparation/service establishments shall complete a Town of Wallace Grease
Interceptor Service Schedule Variance Request Form and provide a written explanation
for the need to vary from the FOG Control Ordinance. All establishments requesting a
variance shall agree to conform to the variance study procedures,the Town of Wallace has
the right to discontinue the variance study at any time the grease interceptor discharge
adversely affects the sanitary sewer collection system and treatment works.
Upon evaluation of pertinent conditions relative to grease interceptor service schedule
variance issues; Fees associated with the request for a variance study will include an initial
variance request fee of$195.00, which includes estimated reimbursement costs associated
with Town of Wallace personnel and travel expenses. Wastewater analysis fees will be
associated with each sample collected during the variance study. All samples analyzed by
contract laboratories will include the cost of analysis and a 20% administrative fee. The
food preparation/service establishment will be billed by the Town of Wallace at the end of
the variance study. The Town of Wallace will not grant a grease interceptor service
schedule variance until the Town receives payment in fulrfor the initial variance request
fee, all wastewater analysis costs, administrative fees and any costs incurred by the Town of
Wallace as a result of said study. All fees associated with said variance are non-refundable.
Pretreatment staff** will log all study findings on the Town of Wallace Grease
Interceptor Variance Study Sheet and submit a copy to the food preparation/service
establishment after each grease interceptor inspection.
Discontinuation of Variance Study
At any time after a variance is granted and the following occurs, the food
preparation/service establishment shall revert back to requirements set forth by the Town of
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 treaLiuent
works.
Page 1 of 3 •

Town of Wallace
Grease Interceptor Service Schedule Variance
Solids accumulation is greater than 20 percent (20%) of the total water depth from
crease interceptor's interior floor to the static or working water level, at any point within the
crease 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
election.
Facility that employs the use of a garbage disposal or food pulper that is connected to
a.e grease interceptor.
Causes or contributes to a sanitary sewer blockage or overflow.
Change in ownership. Variance is non-transferable and only applies to the facility stated
n the variance approval letter granting a grease interceptor service extension.
onditions and Schedulles
11 food services establishments requesting variance to the FOG Ordinance shall conform
the following conditions and schedules.
1. Food preparation/service establishment owner(s)^shall complete a Town of
Wallace Grease Interceptor Service Schedule Variance Request Form and
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

T
•• Town of Wallace
Grease interceptor Service Schedule Variance
7. Food preparation/service establishments that desire the use of biological or
chemical treatment shall provide the Town of Wallace all information
supplied by the manufacturer of type, solution makeup, dosing schedule, and
service agreements. All Food preparation/service establishments using
biological or chemical treatment shall be required to maintain an interceptor
service set by the Town of Wallace FOG Ordinance or Town of Wallace
Variance Study.
8. During the variance study, all limits and conditions of the FOG Ordinance
apply. All violations of the FOG Ordinance will be addressed during and
after the variance study.
9. Food preparation/service establishment agrees to pay the initial variance
request fee,wastewater analysis costs, administrative fees, and any costs
incurred by the Town of Wallace as a result of conducting the variance
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.
A Owner(s) Any person(s), individual, firm, company, association, society, corporation,
public corporation or group upon whose property the building or structure containing the
food service establishment is located. Owner(s) shall also include the owner(s) of a food
service establishment who may lease the building, structure, or a portion thereof, containing
the food service establishment. This includes anyone located outside of the Town's
jurisdictional limits that contributes causes or permits the contribution or discharge of
wastewater into the POTW, including persons who contribute such wastewater from mobile
sources, such as those who discharge hauled wastewater.
Page 3 of 3

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AI�P1N1DT lB
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Town of Wallace
Grease Interceptor ptor Service Schedule
Van e Rec nest Form
A food preparation/service establishment who requests a grease interceptor service schedule
variance must complete this form and submit to the Town of Wallace Public Works
-Pretreatment Section P.O. Box 849 Wallace,NC 28466. If there are any
Department at 910
pPretreatment Section ( )
this form, please feel flee to contact the
concerning
questions
285-2812 or(910) 285-4136.
1. Company Name
a) Facility Nam e:
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: E-mail:
Corporate Contact:Name: Phone: Fax:
6. Written explanation for the need to vary from the Town of Wallace Fats, Oils, and
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. Provide information on Grease Separation Device(s): (Attach additional sheet if
necessary)
Location:
Size(capacity):
Manufacturer:
Model#: •
Page 1of4

Town. of Wallace Grease Interceptor Service Schedule Variance Request Form
Location:
Size (capacity):
Manufacturer:
Model#:
Biological/Chemical Treatuient used in plumbing system:
YES NO
ES, attach all infou cation supplied by the manufacturer of type, solution make up,
ng schedule, and service agreements.
Provide Maintenance/Service Tnformation:
uency of service:
> conducts service:
fly describe how maintenance is conducted:
Jrease interceptor service company information (pumper,renderer, biological, etc.):
Tally Name:
`act Name:
ie:
lame as it appears on Water/Sewer Bill: Service Address:
City: State: Zip:
3illing Address (if different):
City: State: Zip:
,ist all major equipment used for food preparation, (ie: grills, fryers, woks, etc.) include
and capacities if applicable:
Page 2 of 4

Town of:Waliac, Grease Interceptor Service Sche uili e Variai ,ice Request Form
16. List kitchen fixture locations, intended use, number of compartments, size, (ie: prerinse,
1-2-3-4 compartment wash sinks, can wash,prep sinks, dishwasher, garbage disposal, etc.)
Item No. Location Intended Use Compaituients Size
(ex. wash, (ex. 1,2,3,4) (ex. 24x24x12,
prep...) 10 gpm)
1
2
3
4
5
6
7
8 -
•
10
11
17. Does your facility contain grill 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
If YES, are any of the kitchen sink fixtures utilized for the washing of soiled dish/cook
ware? YES NO
20. Are 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.
22. Provide an up to date copy of the indoor and outdoor plumbing plans, these plans
should include facility sewer connections,floor drains, grease removal equipment, sinks,
restrooms, etc. Blue prints are acceptable; a "to scale" hand drawn copy may be acceptable
in some cases.
Page 3 of 4

Town of Wallace Grease se I uterceptor Sep once Schedule Variance Request Form
i I
AUTHORIZED REPRESENTATIVE S ATEMENe
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
ay,direction or supervision in accordance with a system designed to assure that qualified
ersonnel properly gather and evaluate the information submitted. Based upon my inquiry
f the persons who manage the system, or those persons directly responsible for gathering
ae information,the information submitted is,to the best of my knowledge and belief,true,
ccurate, and complete. I am aware that there are significant penalties for submitting false.
aformation, including the possibility of fine/or imprisonment for knowing violations.
signature of Authorized Representative Date
'rinted Name of Authorized Representative
Page 4 of 4

r a (.FOG)
revent FOG from Damaging Your Conan® the Environment
,, J Fats, oils, and grease aren't just bad for your arteries and your waistline; they're bad for
sewers too. Sewer overflows and backups can cause health hazards, damage home
interiors, and threaten the environment. The second leading cause of all seWer overflows
1:4 is grease blockages. Grease can get into the sewer from household drains as well as
, :►}l r from poorly maintained grease traps in restaurants and other businesses.
s grease come from?
mow grease is a byproduct of cooking. Grease is found in such things as:
Ls
:ing
tnd margarine •`',•ir;•0 ,.40'_';a4'
., s-•.-:,;.=ski :n•+,
;rap
cods 4 rrg;:a;i.rlt
and soups
-oducts
grease is washed into the plumbing system usually through the kitchen sink. Grease should never
down the drain. Many people are unaware that pouring hot water and detergent down the drain only
grease temporarily. Grease'then moves further down the sewer line and can cause problems in
When grease gets into a sewer line it sticks to the insides of the pipes (both on your property and
ts). Over time, the grease will build up and eventually block the entire pipe. The results can be:
,wage overflowing into homes, yards or/and streets
ensive and unpleasant cleanup that often must be paid for by the homeowner
a contact with disease-causing organisms •
ease in operation and maintenance costs by the Town, which causes higher sewer bills for
ers.
:4
can do to help
Dour grease down the sink drains and toilets.
gall amounts of grease into a non-recyclable container (e.g., juice can, empty milk carton). Place the
ier in the refrigerator to harden the grease before disposal in the trash,
washing,•scrape grease and food scraps from plates, pots, utensils, and cooking surfaces.
garbage disposals do not keep grease out of the plumbing system. Never put grease down garbage
als, Be cautious of chemicals and additives (including soaps and detergents) that claim to dissolve
Some of these additives simply pass grease down.pipes where it can clog the sewer lines,
re information, please call 910-285-2812

-l. u7�
FlRUCTIIONS 6 OR l�PIING THE . IP
SYSTEM
formation
provide you with suitable wastewater disposal, your home is served 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
slurry from your home to the wastewater treatment receiving line and/or disposal plant.
Use
er system is capable of accepting and pumping a wide range of materials. Regulatory agencies
y p
at the following items should not be introduced into any sewer, either directly or through a kitchen
osal unit:
• Seafood shells Diapers, socks, rags or cloth
Kitty lifter Plastic objects (toys, utensils, straws, etc.)
;tone Feminine Hygiene Products
n, you must never introduce into the any sewer:
•
;S Strong chemicals Flammable material
Lubricating oil • Cooking grease or oil
gels Food debris Beauty Aids (Q-Tips, cotton balls, etc.)
allure
der pump cannot dispose of wastewater without electrical power. If electrical power service is
3d, keep water usage to a minimum.
ailure°Alarm
der pump has been manufactured to produce an alarm signal in the event of a high water level in the
•
-he alarm signal is to provide adequate warning to the user that service is required. During the interim
the arrival of an authorized service technician, water usage must be limited to the reserve capacity of
L/
•