HomeMy WebLinkAboutNCS00009_2019Permit_Initial 2019
Permit and Registration
Bryant & Lassiter Septic Tank
Service, Inc.
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00009
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation &
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. City of Ahoskie WWTP
2. Town of Woodland WWTP
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
State of North Carolina
Environmental Quality
Waste Management
Application for Permit to Operate a
Septage Management Firm
For questions regarding this form or the online application process, please contact Jeffrey Bullard (919-707-8285) or Chester Cobb (919-
707-8283).
Firm name**
Septage Management Firm permit number (NCS #)**
Street address of office**
County**
Mailing address same as street address of office?**
Mailing Address**
Phone**Fax
Email**
Firm owner's name**
Mailing address same as street address of office?**
Mailing Address**
Firm Info
Bryant and Lassiter Septic Tank Service, Inc.
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00009
Enter the five digits following the NCS #
City
Woodland
State / Province / Region
North Carolina
Postal / Zip Code
27897
Country
United States
Street Address
3047 NC 35 Hwy
Address Line 2
Northampton
Yes No
City
Potecasi
State / Province / Region
North Carolina
Postal / Zip Code
27867
Country
United States
Street Address
PO Box 157
Address Line 2
2525874321 2525874322
blseptic@centurylink.net
Owner Info
David and Felicia Cooper
Yes No
Phone**Fax
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
Mailing address**
Phone**Fax
Amount in gallons*
DomesticDomestic
Portable Toilet WastePortable Toilet Waste
Grease (Restaurant)Grease (Restaurant)
Treatment PlantTreatment Plant
Industrial/CommercialIndustrial/Commercial
List each county you plan to do business in:**
Do you plan to operate pumper vehicles?**
"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the submitted permit application meets the requirements for safe
and sanitary transportation of septage as required by 15A NCAC 13B .0844(a) and vehicle lettering as required by 15A NCAC .0844(b).
Furthermore, I also certify that a log is maintained of each septage pumping event as required by 15A NCAC 13B .0839(a). I am aware that
City
Potecasi
State / Province / Region
North Carolina
Postal / Zip Code
27867
Country
United States
Street Address
PO Box 157
Address Line 2
2525874321 2525874322
Operator Info
David Cooper President
Yes No
City
Potecasi
State / Province / Region
North Carolina
Postal / Zip Code
27867
Country
United States
Street Address
PO Box 157
Address Line 2
2525874321 2525874322
Type and amount of septage pumped in the last 12 months
846,000
1,200
87,500
0
247,000
North Carolina counties of operation
Northampton, Halifax, Bertie, Gates, Hertford
Vehicle Info
Yes No
there significant penalties for false certification including the possibility of fine and imprisonment."
Signature
Date**
Title**
Choose how to add vehicle descriptions**
Pumper Vehicles
Usage*License Tag #*Vehicle Identification #*Tank Capacity*
Approved wastewater treatment plant**
If yes, list the facilities below and upload or submit by mail a copy of Wastewater Treatment Authorization for each plant as indicated in
subparagraph .0833(c)(14) of the Septage Management Rules.
Mail forms to:
NC DEQ
Division of Waste Management - Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Wasterwater Treatment Facility Name*Expiration Date*Authorization
Septage Land Application Sites (SLAS)**
11/13/2018
President
Add vehicles
individually
Upload List
Domestic Septage YA-126789 1HTMMAAN18H552533 2,400
Domestic Septage BN-3695 1HTSCAAM4VH479008 1,500
Domestic Septage YA-140570 1HTMMAAN22H542925 2,500
Domestic Septage YA-111726 1HTMMAAN07H357327 2,500
Domestic Septage YA-120347 1HTMMAAN67H443449 2,500
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Town of Woodland 12/31/2019 Bryant and
Lassiter
dumping
permit.pdf
29.74KB
Town of Ahoskie 12/31/2019 Authorization
for Discharge
Ahoskie.pdf
103.5KB