NCS01047_2019Permit_Initial

2019
Permit and Registration

Keith Roberts Septic Sewer &
Drain Inc.
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01047
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. Clark Creek WWTP, Newton NC
2. Old Brookford Plant, Hickory 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
AUTHORIZAT ION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILllY
orth Carolina Department of Env ronmental Quality Division of Waste anagement -Solid Waste Section 1646 Mail Serv·ce Center1 Ra eigh, C 27699-1646
Fee assessments and wast determinatfons will b required at the dlscr ion of the wastewater
treatment facility. The facility as the ult mat .prerogative to d ny dlsch rge of any wastes to the
incoming wastewater stream.
4014 Riv r Rd, Hiekory, NC 28602
(Address)
828-323-7427 do hereby authorize _JK�P·w:,tbuB�obelllelrtsllS... _______ -::----:-----
(Phone Number) (Owner/Operator of Septage Management Firm)
NCS# 01047 of_lK�e!!!lthlJR!3!o�be�rts!!..§Se�p�ti£ic,JS�e�wi�eruamn!.Q.dJ;lD�ra!1!in:LJl!!!ncL _____ --:-::-=:----.-�-----!.:�.:.:;..._--(Septage Management Firm Name and NCS number)
grease septage (grease trap pumpings) ____ commercial/industrial septage ____ from
Catawba, Caldwell, Lincoln, Iredell, Burke (County or other Geographic Area}
at the above named wastewater treatment facility. Septage shall be discharged at:
Old Brookford Plant
(Location)
between the hours of _j7�:0!Q0�am�a�nd�7?.::.:.Q!00�p�mL ___________________ _
Reintroducing partially treated liquid into a grease trap is acceptable __ Yes __x_No
This authorization shall be valid until -�D�ece�m�be'.=;r�3�1i., 2!::0::...:1�9 ____ """"'.'"'""-:::-:-:--:-------
(Usually December 31, Year)
Subscribed and affirmed before me this
�tQ�
Date ,J. {f-:J-. / r
� J... day of B.lo:ruaa� , 20 ( j
G.1l q. i)-Ottj My Commission expires: __ _;,_ ____ _
to