HomeMy WebLinkAboutNCS00746_Permit2019_Initial 2019
Permit and Registration
Edwards Rentals, Inc. DBA
Rent- A-John
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00746
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. James A. Loughlin WWTP
2. Septage Land Application Site SLAS-71-08 3. Septage Detention or Treatment Facility SDTF-71-08
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?**
Mailing Address**
Firm Info
Edwards Rentals, Inc. DBA Rent-A-John
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00746
Enter the five digits following the NCS #
City
Castle Hayne
State / Province / Region
NC
Postal / Zip Code
28429
Country
USA
Street Address
4604 North College Road
Address Line 2
New Hanover
Yes No
City
Wilmington
State / Province / Region
NC
Postal / Zip Code
28408
Country
USA
Street Address
PO Box 15549
Address Line 2
910-791-8333 910-791-4124
info@rentajohninc.com
Owner Info
Cameron and Sharon Edwards
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
Wilmington
State / Province / Region
NC
Postal / Zip Code
28408
Country
USA
Street Address
PO Box 15549
Address Line 2
910-791-8333 910-791-4124
Operator Info
Cameron B. Edwards President
Yes No
City
Wilmington
State / Province / Region
North Carolina
Postal / Zip Code
28408
Country
USA
Street Address
PO Box 15549
Address Line 2
9107918333 910-791-4124
Type and amount of septage pumped in the last 12 months
0
475,000
0
0
0
North Carolina counties of operation
New Hanover; Brunswick; Columbus; Duplin; Onslow; Pender; Bladen; Sampson
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**
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
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
12/20/2018
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.
Vehicle Information 2019 App.doc 326KB
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
James A Loughlin WWTP 6/30/2020 Waste
Treatment
Plant
Authorization…
430.14…
Yes No
SLAS-7108 12/31/2019 Septage Land
Application
Authorization
2019.pdf
224.79…
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
Select one**
Comments or notes
Signature
Yes No
SDTF-7108 12/31/2019 Septage
Detention
Facility
Authorization
2019.pdf
382.45…
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**
12/20/2018
03:37:21 PM
Cameron B. Edwards President
POST OFFICE BOX 15549 • WILMINGTON, NORTH CAROLINA 28408
(888) 44-POTTY • (910) 791-8333 • (910) 791-4124 (fax) cedwards4@ec.rr.com
Vehicle Information 2019 Septage Management Firm Application
No.0006 – 2003 GMC Pumper
License Tag # - BE7019 Tank Capacity - 800 gallons Vehicle Identification # - 1GDE5E1153F510241 No. 0007 – 2004 GMC Pumper License Tag # - BE7020 Tank Capacity - 1100 gallons Vehicle Identification # - 1GDJ6C1C94F512867
No. 0008 – 2005 GMC Pumper
License Tag # - BE7023 Tank Capacity - 1100 gallons
Vehicle Identification # - 1GDJ6C1C95F517603
No. 0009 – 2007 CHEV Delivery / Pumper
License Tag # - CH9711 Tank Capacity - 1100 gallons Vehicle Identification # - 1GBJ7C1327F403032
No. 0010 – 2007 CHEV Pumper License Tag # - CH9712 Tank Capacity - 1100 gallons
Vehicle Identification # - 1GBK7C1327F404556 No. 0011 – 1994 Tanker
License Tag # AA-94305 Tank Capacity - 6600 gallons
Vehicle Identification# - F-40654 No. 0012 – 2013 Ford F-550 License Tag # EJ8510 Tank Capacity - 900 gallons Vehicle Identification # 1FDUF5GT0DEB20446
No. 0013 – 2015 Ford F-550
License Tag# New JB9382 – (old – lost EX2510) - Tank Capacity - 1200 gallons
Vehicle Identification # 1FDUF5GT3FEA27388
No. 0014 – 2015 Ford F 550-2
License Tag # FA 1736 Tank Capacity - 1200 gallons Vehicle Identification # 1FDUF5GT8FEC82988
No. 0015 – 2016 Ford Delivery F 550 License Tag # FE 7800 Tank Capacity - 750 gallons
Vehicle Identification # 1FDUF5GT9GEB34348
POST OFFICE BOX 15549 • WILMINGTON, NORTH CAROLINA 28408
(888) 44-POTTY • (910) 791-8333 • (910) 791-4124 (fax) cedwards4@ec.rr.com
No. 0016 – 2017 Hino Pumper License Tag # HB 9340 Tank Capacity - 1500 gallons
Vehicle Identification # 5PVNJ8JL2H4S51911 No. 0017 – 2017 Hino Pumper #2
License Tag # HB 9456 Tank Capacity - 1500 gallons Vehicle Identification # 5PVNJ8JL4H4S51912 No. 0018 – 2017 Hino Pumper #3 License Tag # HB 9617 Tank Capacity - 1500 gallons Vehicle Identification # 5PVNJ8JV7H4S65353
No. 0019 – 2017 HINO Pumper #4
License Tag# HZ7071 Tank Capacity 1500 gallons
Vehicle Identification# 5PVNJ8JV4H4S65956
No. 0020 – 1994 CEN-TEX TANKER
License Tag# 93M-705 Tank Capacity 20,000 gallons Vehicle Identification# 4C9U6TL14BC273152
No. 0021 – 2018 Dodge Pumper License Tag# JB9387 Tank Capacity 1200 gallons
Vehicle Identification# 3C7WRNBL8JG279900 No. 0022 – 2018 Dodge Pumper # 2
License Tag# JH2226 Tank Capacity 1200 gallons
Vehicle Identification# 3C7WRMBLXJG342733