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Home My WebLink AboutNCS01051_Permit2019_Initial 2019 Permit and Registration Carolina Grease Trap is hereby issued a Septage Management Firm Permit, Permit Number NCS-01051 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. Septage Detention or Treatment Facility 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?** 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 Carolina Grease Trap The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01051 Enter the five digits following the NCS # City durham State / Province / Region NC Postal / Zip Code 27703 Country United States Street Address 3305 venus drive Address Line 2 Durham Yes No 9192015474 9199579701 carolinagreasetrap@hotmail.com Owner Info preston williams jr Yes No 9192015474 9199579701 Operator Info preston williams jr owner/route sales Yes No 9192015474 9199579701 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** Septage Land Application Sites (SLAS)** Type and amount of septage pumped in the last 12 months 0 0 60,000 0 0 North Carolina counties of operation Durham, Wake,Orange and Foresyth Vehicle Info Yes No 12/26/2018 owner/route sales Add vehicles individually Upload List Grease (restaurant)YA108080 2H5FBGUR2K0022896 3,800 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Yes No 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 Date Yes No SDTF-9808 12/31/2019 Yes No Septage Management Firm Operator Training Completed 9/15/2018 4 asheville buncombe tech community college 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. 12/26/2018 Print Name**Title** 12/26/2018 01:48:08 PM Preston E Williams Jr owner/route sales AU珊O則ZA刊的丁O DISC門AR鎚S輔丁A鎚AT A S輔丁AGE TR臣A丁鵬NT (脱 S丁ORA鎚FAC曲丁Y距R脚丁丁輔丁O SO鵬O鵬OT醍R珊AN YO眠S軋F 岬S form is used by a detention or trea鵬nt fa{細ty permit剛er to indicate that permission has been given to a perm鵬d Septage Management Firm to discharge septage into the permit剛e「s detention or treawhent fad聞 Danie圧Newsome 441 Buck Newsome Rd, Fremont, NC 27830 (Fac岬y Operator〉 (Operator Add ress) Preston W潮ams (Owner of Septage Management Firm) do hereby authorize: Ca軸脂G胎a総丁昭p (Name of Septage Management Firm〉 3305 Venus Dr. Durham同C 27703 (Addrees of Septage Management Flm) (00953〉 98-08 to u鵬e septage detention o「 treatment fac航y #for the treatment or sto「age of septage * in 2019-・ The fac映画冊e operated in accordance with the Septage Management Rllles it 11-5-18 ’ As de師edin G.S. 130A"290㈲(32〉柵As de軸ed in 15A NCAC 13B.0800 Retum the properly comp)eted fom to: No曲Ca軸鵬Depa軸entof Envfro咽ent and Natural Resou鵬eS Division of Waste Management So=d Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 PAID FIRM NAME: Carolina Grease Trap PERMIT #: NCS-01051 AMOUNT: $550 PAID BY: e-card DATE: 12/26/18 Chester Cobb