NCS01471_2019Permit_Initial

2019
Permit and Registration

Father & Son Enterprises
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01471
And by virtue of completing the annual training
requirements is hereby registered as a Septage Management Firm
in the State of North Carolina.

This permit to operate a Septage Management Firm is issued to the above named person, business or entity alone and is not transferable to any other person, business or entity. Firm operation shall be in accordance with the provisions of N.C. General Statute 130A-291.1 - 130A-291.3, Title 15A of the N.C. Administrative Code 13B .0800 et.seq.,
conditions of the permit, and representations made in the application and accompanying documents for a permit.
The permit holder is authorized to discharge septage only at the locations(s) listed below: 1. Corpening Creek WWTP, Marion NC

This permit does not entitle the permit holder to operate a Septage Land Application Site, a Septage Detention or Treatment Facility, or any other solid waste management facility
not specified herein. Failure to operate as permitted may result in the Department suspending or revoking this permit, initiating action to enjoin the unpermitted operation, imposing administrative
penalties, or invoking any other remedy as provided in Chapter 130A, Article 1, part 2 of the North Carolina General Statutes. This permit and registration expires on
December 31, 2019.

__________________________________________________
Adam Ulishney, Environmental Compliance Branch Head
A/e..,w (, ,iY\
APPLICATION FOR PERMIT TO OPERA TE A SEPT AGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT· SOLID WASTE SECTION-1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: fJ}Je "Firm name''. must be exactly as it is shown on yourvehicle(s)).to.\.h�r · * Soo E'o+u�ise,s
Street address of office: I 5 3 H 9. pp'/ J? ) w,.g___ ·
City: �'C;DO State: NL-Zip:__..i ..... Z._..?=5.=d:: ___ _
Mailing address (if different): __________________ _
City: ___________ State: ___ .Zip: _______ _
Phone: :l>'J..K-73'6-C/ul/5 Fax:_. ---------
E-Mail: f"cx 1.>,.,t·\ooll..
�, County: 8cDov->eJ I Septage Management Firm permit number: NCS #--"�
(2.) Firm owner's name: · l...g>(� 1,\o.'f)e...
Mailing address (if different): lb\ Happ'/ '?� City: Mo.t:i on state: tJ C-Zip: :J-(j ]SJ-:
Phone: </td-$-L/leO -')LJq� Fax: _________ _
(3.) Firm operator's name: Sec t.c 'R \ ��e, Firm operator's title: ----
Mailing address (if different): J S,3 J..,/app� ?Jo.c.e..
City: M-o,cica State:. >JC,. Zip: ;)..S'75;L
Phone: lJ.8'.-'73'8�(.j/,'/S Fax: __________ _
(4.) Type(s) of septage pumped: Write in the number of gallons pumped in 2017 (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease Restaurant Treatment Plant Industrial/Commercial
(5.) N.C. Counties of Operation: __________________ _
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: _____ _
2 3 4
5
Number used for: Domestic Septage:___ Grease (restaurant): ___ _ Other:______ Portable Toilet Waste: __ _ Vehicle Information: (use additional paper if needed)
License Ta # Vehicle Identification # Tank Ca aci
APPLICATION CONTINUED ON PAGE 2 Cit (fi1: t ':p' �PAGE 1 DA:';jtg;zq :