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Home My WebLink AboutNCS00736_Permit2019_Initial 2019 Permit and Registration Lucas Septic Tank Pumping is hereby issued a Septage Management Firm Permit, Permit Number NCS-00736 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. Long Creek WWTP, Albemarle NC 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 Lucas Septic Tank Pumping The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00736 Enter the five digits following the NCS # City Norwood State / Province / Region NC Postal / Zip Code 28128 Country United States Street Address 14196 Carpenter Road Address Line 2 Stanly Yes No City Norwood State / Province / Region NC Postal / Zip Code 28128 Country United States Street Address 14055 Carpenter Road Address Line 2 704-985-6453 johnlucasconcrete95@gmail.com Owner Info Joel L Lucas 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 Norwood State / Province / Region NC Postal / Zip Code 28128 Country United States Street Address 14055 Carpenter Road Address Line 2 704-985-6453 Operator Info Joel L Lucas Owner/Operator Yes No City Norwood State / Province / Region NC Postal / Zip Code 28128 Country United States Street Address 14055 Carpenter Road Address Line 2 704-985-6453 Type and amount of septage pumped in the last 12 months 220,000 0 0 0 0 North Carolina counties of operation Stanly, Anson, Union, Mecklenburg, Montgomery, Cabarrus, and Rowan 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)** Septage Detention or Treatment Facility (SDTF)** Other disposal method** 11/9/2018 Owner/Operator Add vehicles individually Upload List Domestic Septage YA116712 1HTAA19E9DHA16278 2,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No City of Albemarle Long Creek WWTP 12/31/2019 Discharge Authorization Effective 01- 01-19 Through 12-31-19.pdf 611.62… Yes No Yes No 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** 12/8/2018 4 Gov Martin Bldg. State Fairground, 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 Registration for Class on Dec 8th has been paid. 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. 11/9/2018 05:38:50 AM Joel L Lucas Owner AUTHORIZATION TO DiSCHARGE SEP丁AGE TO A WASTEWATER TREATMENT FACiしITY North Caroiina Department of Environmental QuaIity Division ofWaste Management - So=d Waste Section 1646 Ma= Service Center, Raieigh, NC 27699-1646 Fee assessments and waste determinations w川be required at the discretion ofthe wastewate「 treatment fac掴ty, The fac掴ty has the uItjmate pre「ogative to deny discha「ges of any wastes to the i,らr往レムルル初正の冊の小雄均は?鋒e記。す引b餌庇山や各色長ののノア戸 (Piant Op:rator in Responsible Charge (ORC), ORC License Number, Name of轟nt) Io佃　侵bしル缶Iu巳　柄b…伊古色勃⊂/皇宮併)i 弓師/ q蒋在O(;3叫d。 h。reby auth。.ize　　二二TaJ∴左LeC,色S‘ (Phone Number)　　　　　　　　　　　(Owner/Operator of Septage Management Firm) of　丁五山竺P笠と警手享÷中辛レ中小購#D。申し (Septage Management Firm Name and NCS number) t。dis。。S。。f‥ d。m。Sti。SePtage荘」P。rtab-etoi-etwaste V4Lf　, grease septage (grease trap pumpings)閣 COmmerCiaI/industriai septage 晶 from 旧年乱し吊れ㌻霊藍鞠Å陣伍地盤事〇位厨 at the above named wastewater treatment fac冊∨. Septage sha= be discharged at: 善書霊芝等霊鵠帯等蓋墓メN。Reintroducing partia=y treated =quid into a grease trap is acceptabIe　__鵜Yes　_ 丁hisauth。.izati。nShaIIbevaIiduntiI la- 3上層 (Usua=v December 31, Year) Subscribed and a冊rmed before 。at。臆臆存87諦 m。 ,h-s∴神　　day 。f曲2。喧しぶu山の,M M,C。mmissi。n eXPi「。S:山元￣屈曲二十毎イ夢心で　牢両種’与で五三地位〆了もとと巧e〆　β捗へ復古〇品I・」で /〃うん弘　と㌦●か〇、、」荒でみた-古人/与やブ・ β戸　〃8-侶 Note: FaIsification of this document by the septage management firm shaII Iead to permit revocation. S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Flrm Appiicat-On/WWTP Autho「lZation Form 2O18 PayPoint Payment Receipt Application: Solid Waste Merchant: NDENR-Solid Waste Merchant City/State: Raleigh, North Carolina Payment Status: Settled Result Message: Payment completed and settled successfully. Payment Date: 11/09/2018 Posting Date: 11/09/2018 Billing Information: Joel L Lucas 14055 Carpenter Road Norwood, NC 28128 7049856453 johnlucasconcrete95@gmail.com Payment Amount: 550.00 USD Reference Information: NCS-00736-2019,28128,Lucas Septic Tank Pumping,14196 Carpenter Road,Norwood,NC,NCS-00736,$550.00 Page 1 of 1 Disclaimer: No convenience fee is charged for using the eCheck payment method. However, a processing fee of $25.00 or 10% of the amount of the eCheck, whichever is greater, will be charged for an eCheck returned due to insufficient funds. Payments are null and void if payment is made with an eCheck that is returned unpaid by the bank. https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 11/13/2018