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Home My WebLink AboutNCS00691_Permit2019_Initial2019 Permit and Registration Don Locklear Septic Tank Cleaning is hereby issued a Septage Management Firm Permit, Permit Number NCS-00691 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.City of Lumberton WWTP 2. Cross Creek WRF, Fayetteville NC3.Septage Detention or Treatment Facility, SDTF-78-19 4.Septage Land Application Site, SLAS-78-19 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 Don Locklear Septic Tank Cleaning The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00691 Enter the five digits following the NCS # City Pembroke State / Province / Region NC Postal / Zip Code 28372 Country United States Street Address 2161 Evergreen Church Road Address Line 2 Robeson Yes No 910-671-0563 910-521-9310 r_and_d_waste@yahoo.com Owner Info Rachel Locklear Yes No 910-671-0563 910-521-9310 Operator Info Rachel Locklear Owner Yes No 910-671-0563 910-521-9310 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** 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 Type and amount of septage pumped in the last 12 months 200,000 100,000 25,000 0 0 North Carolina counties of operation Robeson, Cumberland Vehicle Info Yes No 11/30/2018 Owner Add vehicles individually Upload List Domestic Septage YA-99221 1M1AA13XDSWO54343 3,600 Domestic Septage YA-131034 1HT5DAAN6YH218516 2,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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)** If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #*Expiration Date*Authorization 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** Date**Hours** Location** Training Sponsored or Provided by** Date Hours Location Training Sponsored or Provided by LUMBERTON WWTP 12/31/2019 CROSS CREEK WRF 12/31/2019 Yes No SLAS-78-19 1/6/2020 Yes No SDTF-78-19 1/6/2020 Yes No Septage Management Firm Operator Training Completed 1/6/2018 4 Gov. Martin Building, State Fairgrounds 1025 Blue Ridge Road NC Pumper Group & NC Portable Toilet Group Septage Land Application Site Operator Training Completed 1/6/2018 3 Gov. Martin Building, State Fairgrounds 1025 Blue Ridge Road NC Pumper Group & NC Portable Toilet Group Select one** Comments or notes Signature Date Print Name**Title** 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. 11/30/2018 02:26:03 PM Rachel Locklear Owner PAID FIRM NAME: Don Locklear Septic Tank Cleaning PERMIT #: NCS-00691 AMOUNT: $800 PAID BY: e-check (R&D Associates of Pembroke,Inc.) DATE: 12/03/20118 Chester Cobb