HomeMy WebLinkAboutNCS01083_Permit2019_Initial2019
Permit and Registration
1st Choice Septic
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01083
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
2.First Broad River WWTP, Shelby NC3.Septage Land Application Site SLAS-12-03
4.Septage Detention or Treatment Facilities SDTF-12-03, SDTF-55-04, SDTF-36-15, &
SDTF-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?**
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
1st Choice Septic
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01083
Enter the five digits following the NCS #
City
Cherryville
State / Province / Region
NC
Postal / Zip Code
28021
Country
USA
Street Address
3661 Eaker Road
Address Line 2
Lincoln
Yes No
7044475500
info@1stchoiceservicenc.com
Owner Info
Jonathan Watts
Yes No
7049137685
Operator Info
Jonathan Watts President
Yes No
7049137685
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*
Type and amount of septage pumped in the last 12 months
975,000
75
310,000
1
1
North Carolina counties of operation
Lincoln, Gaston, Burke, Cleveland, Catawba, Alexander, Mecklenburg, Union,
Cabarrus, Rutherford, Rowan, Iredell
Vehicle Info
Yes No
12/26/2018
VP
Add vehicles
individually
Upload List
Domestic Septage MA4154 1FUYDECB6LH371325 4,000
Domestic Septage MX1382 1FUBYCBS1B0B49731 4,000
Grease (restaurant)NE6093 ALCHYFE8JDJZ9839 4,000
Grease (restaurant)NC5376 1ATWGAAT66J239336 4,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
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)**
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**
Yes No
City of Newton Clark Creek 12/31/2019 NEWTON
WWTP.pdf
54.26KB
First Broad River 12/31/2019 SHELBY
WWTP.pdf
54.94KB
Yes No
SLAS-12-03 12/31/2019 HUDSON
SLAS.pdf
33.44KB
Yes No
SDTF-36-15 12/31/2019 EARTH FARMS
AUTH TO
DISCHARGE.pdf
28.1KB
SDTF-12-03 12/31/2019 HUDSON
SDTF.pdf
28.3KB
SDTF-60-09 12/31/2019 LIQUID ENVIRO
AUTH TO
DISCHARGE.pdf
26.39KB
SDTF-55-04 12/31/2019 FCS SDTF.pdf 22.73KB
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Print Name**Title**
Yes No
Septage Management Firm Operator Training Completed
10/19/2018 12
Raleigh, NC
NC DEQ - New Operator Training
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
12:49:00 PM
Erin Watts VP
PAID
FIRM NAME: 1st Choice Septic
PERMIT #: NCS-01083
AMOUNT: $800
PAID BY: e-check (Jonathan Watts)
DATE: 12/03/2018
Chester Cobb