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HomeMy WebLinkAboutNCS00794_Permit2019_Initial 2019 Permit and Registration Marshall Cummings Septic Tank Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-00794 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. Septage Detention or Treatment Facility, SDTF-78-18 3. Septage Land Application Site, SLAS-78-18 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 Marshall Cummings Septic Tank Service The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00794 Enter the five digits following the NCS # City Saint Pauls State / Province / Region NC Postal / Zip Code 28384-9793 Country US Street Address 1234 W McDuffie Crossing Rd Address Line 2 Robeson Yes No 9107376310 mcseptictanks@earthlink.net Owner Info Marshall Cummings Yes No 9107376310 Operator Info Marshall Cummings Owner/Operator Yes No 9107376310 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 97,200 0 38,140 0 0 North Carolina counties of operation Robeson, Bladen, Cumberland, Hoke Vehicle Info Yes No 12/26/2018 Owner Add vehicles individually Upload List Domestic Septage YA54814 1HTSCABNOVH498260 2,500 Grease (restaurant)YA54814 1HTSCABNOVH498260 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 City of Fayetteville PWC 6/30/2023 MCSTS- WasteTreatmen… Permits.pdf 894.44… City of Lumberton Waste Treatment Plant 12/31/2019 MCSTS- WasteTreatmen… Permits.pdf 894.44… Yes No SLAS-78-18 8/15/2018 Yes No SDTF-78-18 5/29/2019 Yes No Septage Management Firm Operator Training Completed 10/23/2018 4 Goldsboro, NC NC Pumper Group & NC Portable Toilet Group Septage Land Application Site Operator Training Completed 10/23/2018 3 Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** Goldsboro, NC NC Pumper Group & NC Portable Toilet Group Registration Type Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes Land Application submitted in July 23, 2018. Currently waiting on Updated permitting notifications. SDTF-78-18 which expires 5-29-19 should be on file and I will have to get a copy from Connie Wiley to resubmit. I could not locate my hard copy in my files. 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. 12/26/2018 11:53:14 AM Marshall Cummings Owner/Operator PAID FIRM NAME: Marshall Cummings Septic Tank Service PERMIT #: NCS-00794 AMOUNT: $550 PAID BY: e-check DATE: 12/26/18 Chester Cobb