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Home My WebLink AboutNCS00250_Permit2019_Initial 2019 Permit and Registration Jim's Liquid Waste Hauling, LLC is hereby issued a Septage Management Firm Permit, Permit Number NCS-00250 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. Greenville Utilities WWTP, Greenville NC 2. Septage Detention or Treatment Facilities, SDTF-74-16 and SDTF-98-08 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?** Phone**Fax Firm Info JIM'S LIQUID WASTE HAULING, LLC The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00250 Enter the five digits following the NCS # City GREENVILLE State / Province / Region NC Postal / Zip Code 27834 Country USA Street Address 2141 SUNNYBROOK RD Address Line 2 Pitt Yes No City GREENVILLE State / Province / Region NC Postal / Zip Code 27834 Country USA Street Address 4000 BACH CIRCLE Address Line 2 252-830-1016 252-830-0266 jlwh@earthlink.net Owner Info Jim and Gaye Stallings Yes No same same 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 there significant penalties for false certification including the possibility of fine and imprisonment." Signature Date** Title** Operator Info JIM STALLINGS OWNER Yes No City GREENVILLE State / Province / Region NC Postal / Zip Code 27858 Country USA Street Address 4000 BACH CIRCLE Address Line 2 SAME SAME Type and amount of septage pumped in the last 12 months 1,045,320 401,100 645,500 0 0 North Carolina counties of operation PITT, MARTIN, BEAUFORT, CRAVEN, GREENE, LENOIR Vehicle Info Yes No 12/28/2018 12/28/18 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)** Septage Detention or Treatment Facility (SDTF)** If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for each site. SDTF #*Expiration Date*Authorization Other disposal method** 12/28/18 Add vehicles individually Upload List Domestic Septage YA004959 1FVHCYB559H58694 3,500 Portable Toilet Waste CA6666 1FVACWDTODHBV9599 1,500 Grease (restaurant)YA124238 5PVNV8JP682550067 2,300 Portable Toilet Waste EZ3249 1FVACWDTXBDBD9392 1,500 Portable Toilet Waste EN5622 1HTMMAAL43H576204 1,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No GREENVILLE UTILITIES 12/31/2019 GUC AUTHORIZATION… 493.3KB Yes No Yes No SDTF-98-08 12/31/2019 NEWSOME AUTHORIZATION… 309.29… Yes No Septage Management Firm Operator Training Completed Date**Hours** Location** Training Sponsored or Provided by** Date Hours Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** 3/5/2018 6 Washington, NC NC Septic Tank Association 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. 12/27/2018 03:34:15 PM Jim Stallings Owner AurHoRrzAnoNto?Frffi F^Tl,?iro/ruuAsrEtlttrA'rER NorthCarolinaDepartmentofEnvironment.andNaturalResources Division ot Waste nnanaferyeq -.Solid Waste Section 401 Oberlin no., itt' is0, Raleigh' N'c' 27605 Fee assessrnents and waste determinations witt be requiredat the d'scretion of the wastewater treatrnent facility, The facility nas the ultimate p,.'og'tiu;to deny Oiscnargt"of tny wastes to the incoming . (?b2) sbJ-1b46" do hereby authorize il-.-.....- {Phone NumDer) o, ri*,, riouio w.st. n.d,€##f;lf;##t#*'ft'e to dispose of: domestic septage "J ' screened portable toilet waste grease septage CIrease traP Fumpings) sptage ---!9--'frm at the above named wastewater treatment facility' septage shall be discharged at: /F_ : ?a wastewater stream' 1eiiffi rator ano. l1m9$f rfl t) Greenville Utitities WWTP between the hours of 8:30 AM -'.4:30 PM' Mpndav throuoh Fridav valid until- Decemher 31' 2019 - -7---' 4*,,,,,1 *{* D^" lA/W'E lorr auvabea My Commission exPires: Note: Falsification of this document by the septage management firm shall lead to permit revocation' AUTHORIZATION TO DISCHARGE $EPTAGE AT A SEPTAGE TREATIMENT OR STORAGE FACILITY PERMITTED TO $OMEONE OTHER THAN YOURSELF ffhis form is used by a detention or treatrnent facility permit holder to indicate that permission has been given to a permitted Septage Management Firm to discharge septage into the permit holders detention or featrneni facility.) ' DanielL Newsome (Facility Operator) 441 Buck Newsome Rd. Fremont, NC 22830 (Operator Address) Jim Stallings do hereby authorize: (Owner of Septage Management Firm) Jim's Liquid Waste Hauling, LLC 00250 NCS # (Name of Septage Management Firm) 4000 Bach Circle Greenville, NC 27858 (Addrcss of Septage Management Firm) (00e53) 98-08 io utitize septagd detentibn or tieaTment facility #forthe treatment 0r storage 0f $eptage n in 2019-. The facility will be operated in accordance with the $eptage Management Rules ** 1 1-5-18 Date:{iigned n As defined in G.$. 130A.290(a)(32)** As defined in 15A NCAC 138.0800 Return the properly completed form to: Noflh carolina Departrnent of Environment and Natural Resources Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 RPAID FIRM NAME: Jim's Liquid Waste Hauling, LLC PERMIT #: NCS‐00250 AMOUNT: $800 PAID BY: e‐check DATE: 12/28/2018 Chester Cobb