HomeMy WebLinkAboutNCS01142_2019Permit_Initial 2019
Permit and Registration
Sparks Environmental Services, Inc.
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01142
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. Cub Creek WWTP
2. Septage Detention or Treatment Facilities: SDTF 14-02, 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?**
Phone**Fax
Firm Info
Sparks Environmental Services, Inc.
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01142
Enter the five digits following the NCS #
City
Lenoir
State / Province / Region
NC
Postal / Zip Code
28645
Country
United States
Street Address
5388 Fields Place
Address Line 2
Caldwell
Yes No
City
Lenoir
State / Province / Region
NC
Postal / Zip Code
28645
Country
United States
Street Address
Post Office Box 591
Address Line 2
828-303-0158 828-758-0330
jerry@sparks-environmental.com
Owner Info
Jerry Sparks
Yes No
828-499-4416 828-758-0330
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
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**
Choose how to add vehicle descriptions**
Pumper Vehicles
Usage*License Tag #*Vehicle Identification #*Tank Capacity*
Operator Info
Barry Sparks Vice President
Yes No
828-303-0158 828-758-0330
Type and amount of septage pumped in the last 12 months
0
0
43,120
0
0
North Carolina counties of operation
Caldwell, Burke, Catawba
Vehicle Info
Yes No
11/13/2018
Vice President
Add vehicles
individually
Upload List
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
Other disposal method**
Date**Hours**
Location**
Training Sponsored or Provided by**
Grease (restaurant)AZ41837 626960 4,000
Grease (restaurant)AZ75810 1PM54422791035320 6,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Town of Wilkesboro 12/31/2018 Cub Creek.pdf 154.56…
Liquid Environmental Solutions 1/2/2019
Yes No
Yes No
SDTF-34-06 12/31/2018 LES.pdf 68.52KB
SDTF-60-09 12/31/2018
Yes No
Septage Management Firm Operator Training Completed
9/12/2018 4
Mooresville NC
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Print Name**Title**
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.
11/13/2018
11:21:38 AM
Barry Sparks Vice President
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: 11/13/2018
Posting Date: 11/13/2018
Billing Information: Sparks Environmental Services, Inc. Post Office Box 591 Lenoir, NC 28645 8283030158 jerry@sparks-environmental.com
Payment Amount: 800.00 USD
Reference Information: NCS-01142-2019,28645,Sparks Environmental Services, Inc.,PO Box 591,Lenoir,NC,NCS-01142,$800.00
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https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 11/14/2018