HomeMy WebLinkAboutNCS00138_Permit2019_Initial 2019
Permit and Registration
Able Rent-A-Jon
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00138
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation 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. French Broad River Water Reclamation Facility
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?**
Phone**Fax
Email**
Firm owner's name**
Mailing address same as street address of office?**
Phone**Fax
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
Phone**Fax
Firm Info
Able Rent-A-Jon & Waste Services
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00138
Enter the five digits following the NCS #
City
Asheville
State / Province / Region
NC
Postal / Zip Code
28803
Country
United States
Street Address
108 Sweeten Creek Road
Address Line 2
Buncombe
Yes No
8285752253
ablerentajon@charter.net
Owner Info
Richard Sieburg
Yes No
8285752253
Operator Info
George Sieburg
Yes No
8282797649
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
there significant penalties for false certification including the possibility of fine and imprisonment."
Signature
Date**
Title**
Choose how to add vehicle descriptions**
Upload vehicle list**
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
Type and amount of septage pumped in the last 12 months
0
769,750
0
0
0
North Carolina counties of operation
Buncombe, Haywood, Henderson, Madison
Vehicle Info
Yes No
12/21/2018
President
Add vehicles
individually
Upload List
You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag
#, Vehicle Identification #, and Tank Capacity.
NCDENR portable toilet truck info.xlsx 10.38KB
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
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)**
Septage Detention or Treatment Facility (SDTF)**
Other disposal method**
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
MSD of Buncombe County 12/31/2019
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
12/8/2018 4
Raleigh, NC
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
0
Registration Type
Registered Portable Sanitation Firm
Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments and Notes
Certification Statement
I certify that the information and representations in this application for a permit are true, complete, and accurate to the best of my knowledge and belief. I am
aware that a permit may be suspended or revoked upon a finding that its issuance was based upon incorrect or inadequate information that materially affected
the decision to issue the permit and that there are criminal penalties for knowingly making a false statement, representation, or certification.
Date
Print Name**Title**
12/21/2018
04:00:10 PM
George Sieburg President
Truck Model Truck Type Waste/Water Truck VIN Tag #Permit #
2013 Ford F-550 Portable toilet Truck 600/400 1FDU5HT8DEB83938 EK-8360 64
2015 Ford F-550 Portable Toilet Truck 600/400 1FDUF5HT0FEA44213 FK-5587 73
2008 Dodge 4500 Portable Toilet Truck 400/300 3D6WD66AX8G146487 BX-6875 1
2009 Dodge 5500 Portable Toilet Truck 400/200 3D6WD76L89G514013 JB-6179 4
2015 Ford F-550 Portable Toilet Truck 900/300 1FDUF5HY6FED32619 HH-7722 92
2016 Ford F- 550 Portable Toilet Truck 650/300 1FDUF5HY0GEB62811 HK-7493 94
2018 Ford F-550 Portable Toilet Truck 700/300 1FDUF5HYHEB81348 JE-2922 75
2018 Ford F-550 Portable Toilet Truck 650/300 1FDUF5HY2JDA03155 JH-6219 17
PAID
FIRM NAME: Able Rent-A-Jon
PERMIT #: NCS-00138
AMOUNT: $800
PAID BY: e-check
DATE: 12/21/18
Chester Cobb