Loading...
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