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Home My WebLink AboutNCS01070_Permit2019_Initial 2019 Permit and Registration Lake Norman Sewer & Septic Services is hereby issued a Septage Management Firm Permit, Permit Number NCS-01070 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. Clark Creek WWTP 2. Septage Detention or Treatment Facilities: SDTF-34-06 and 60-09 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 Lake Norman Sewer & Septic Service The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01070 Enter the five digits following the NCS # City Maiden State / Province / Region North Carolina Postal / Zip Code 28650 Country USA Street Address 6656 East Hwy 150 Address Line 2 Lincoln Yes No City Denver State / Province / Region NC Postal / Zip Code 28037 Country USA Street Address P.O.Box 889 Address Line 2 704-483-5125 704-483-5933 lknsas@gmail.com Owner Info David Dennis Currier 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 Denver State / Province / Region NC Postal / Zip Code 28037 Country USA Street Address P.O. Box 889 Address Line 2 704-483-5125 704-483-5933 Operator Info David Dennis Currier Owner/President Yes No City Denver State / Province / Region NC Postal / Zip Code 28037 Country USA Street Address P.O. Box 889 Address Line 2 704-483-5125 704-483-5933 Type and amount of septage pumped in the last 12 months 500,000 0 30,000 0 0 North Carolina counties of operation Lincoln, Catawba, Iredell,Mecklenburg,Cabarrus 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** 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)** Other disposal method** Date**Hours** 12/17/2018 Owner/President Add vehicles individually Upload List Domestic Septage YA115581 1XKDDB97J158301 5,000 Grease (restaurant)YA008621 1NPALT0X31N550204 3,600 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Clark Creek WWTP 12/31/2018 Liquid Environmental Solution 12/31/2018 Yes No Yes No Yes No Septage Management Firm Operator Training Completed 2/1/2018 6 Location** Training Sponsored or Provided by** Date Hours Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** Hickory, NC NC Septic Tank Association 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. 12/17/2018 02:32:57 PM David Dennis Currier Owner/President AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a detention or treatment facility permit holder to indicate that permission has been given to a permitted Septage Management Firm to discharge septage into the permit holders detention or treatment facility.) I, Liquid Environmental Solutions (Facility Operator) Offices at 4826 Worth Place, Charlotte, NC 28216 and at 750 Palmer Lane, Winston-Salem, NC 27107 (Operator Address) do hereby authorize: (Owner of Septage Management Firm) Lake Norman Sewer & Septic Services NCS # 01070 (Name of Septage Management Firm) 6656 NC-150, Denver, NC 28037 (Address of Septage Management Firm) to utilize septage detention or treatment facility # STDF 34-06 & STDF 60-09 for the treatment or storage of septage * in 2018-2019 . The facility will be operated in accordance with the Septage Management Rules **. Date: 3/01/19 Signed (Facility Operator) Josh Hanlon, Regional Director of Growth Operations * As defined in G.S. 130A-290(a)(32) ** As defined in 15A NCAC 13B .0800 Return the properly completed form to: North Carolina Department of Environment and Natural Resources Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 PayPoint Payment Receipt Application: Solid Waste Merchant: NDENR-Solid Waste Merchant City/State: Raleigh, North Carolina Payment Status: Settled Result Message: Payment completed and settled successfully. Payment Date: 11/14/2018 Posting Date: 11/14/2018 Billing Information: David D Currier P.O. Box 889 Denver, NC 28037 7044835125 lknsas@gmail.com Payment Amount: 800.00 USO Reference Information: NCS-01070-2019,28037,Lake Norman Sewer & Septic Service, LLC,3405 Denver Drive,Denver,NC,NCS-01070,$800.00 Page 1 of 1 Dis:claimel': No convenience fee is charged for using the eCheck payment method. However, a processing fee of $25.00 or 10% of the amount of the eCheck, whichever is greater, will be charged for an eCheck returned due to insufficient funds. Payments are null and void if payment is made with an eCheck that is returned unpaid by the bank. https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 11/15/2018 •