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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