NCS00698_2019Permit_Initial

2019
Permit and Registration

McFarland Septic
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00698
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. Neuse River Resource Recovery Facility, Raleigh NC
2. North Durham Water Reclamation Facility, Durham NC 3. South Durham Water Reclamation Facility, Durham NC
4. Septage Detention or Treatment Facility, SDTF-92-12

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
McFarland Septic
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00698
Enter the five digits following the NCS #
City
Durham
State / Province / Region
NC
Postal / Zip Code
27705
Country
United States
Street Address
6801 Mt. Hermon Church Road
Address Line 2
Orange
Yes No
9193831015 9193832035
[e-mail]
Owner Info
Waylon McFarland
Yes No
9193831015 9193832035
Operator Info
Waylon McFarland owner
Yes No
9193831015 9193832035
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
1,714,800
0
0
0
0
North Carolina counties of operation
Durham, Orange, Chatham, Person, Wake
Vehicle Info
Yes No
11/13/2018
owner
Add vehicles
individually
Upload List
Domestic Septage YA130453 2NKHHJ7X3GM115594 2,650
Domestic Septage YA115457 2NKMHN7X38M234818 2,500
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Signature
Date
Print Name**Title**
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.
11/13/2018
10:26:28 AM
Waylon McFarland Owner