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Home My WebLink AboutNCS00916_Permit2019_Initial 2019 Permit and Registration Bailey's Septic Tank Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-00916 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. Louisburg WRF 2. Central Johnston County Regional WWTP 3. Neuse River Resource Recovery Facility 4. Septage Detention or Treatment Facilities, SDTF-92-12, SDTF-98-08 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?** Phone**Fax Firm Info Bailey's Septic Tank Service The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00916 Enter the five digits following the NCS # City Knightdale State / Province / Region NC Postal / Zip Code 27545 Country USA Street Address 113 Neuse Harbor Dr Address Line 2 Wake Yes No City Knightdale State / Province / Region NC Postal / Zip Code 27545 Country USA Street Address PO Box 925 Address Line 2 9192661161 919-230-9147 baileyseptic@gmail.com Owner Info Leroy Bailey Yes No 919-266-1161 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 there significant penalties for false certification including the possibility of fine and imprisonment." Signature Date** Title** Operator Info Leroy Glenn Bailey JR Technician Yes No City Knightdale State / Province / Region NC Postal / Zip Code 27545 Country USA Street Address 108 Neuse Harbor Dr Address Line 2 919-819-8446 Type and amount of septage pumped in the last 12 months 490,000 0 90,000 0 0 North Carolina counties of operation Wake,Johnston, Nash, Granville, Franklin, Harnett Vehicle Info Yes No 12/17/2018 Owner 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)** 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 Owner Add vehicles individually Upload List Domestic Septage FD6453 1FVACWDC06HW60735 1,800 Grease (restaurant)CS1424 1FV3HFACXVL858054 1,700 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Raleigh NC Neuse River Resource Facility 12/31/2018 Doc - Dec 9 2018 - 2-01 PM.pdf 539.64… Louisburg WRF 12/31/2018 Doc - Dec 9 2018 - 2-00 PM.pdf 561.06… Central Johnston County Regional Wasterwater Treatment Plant 12/31/2018 Doc - Dec 9 2018 - 1-59 PM.pdf 575.48… Yes No Yes No 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 Date SDTF-98-08 12/31/2018 Doc - Dec 9 2018 - 2-02 PM.pdf 455.61… SDTF-92-12 12/31/2018 Doc - Dec 17 2018 - 10-07 AM.pdf 460.29… 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 Log Books are not up to date. Will try to improve on that area. I was a little confused if needed to continue. But now understand need to continue. 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. 12/17/2018 Print Name**Title** 12/17/2018 09:39:25 AM Leroy Bailey Owner/Operator PAID FIRM NAME: Bailey's Septic Tank Service PERMIT #: NCS-00916 AMOUNT: $800 PAID BY: e-check DATE: 12/18/2018 Chester Cobb