NCS01317_Permit2019_Modify

2019
Permit and Registration

Victory Septic Solutions
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01317
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. North and South Durham WRF 2. Louisburg WRF
3. Neuse River Resource Recovery Facility 4. Warren County WWTP
5. Henderson WWTP 6. Septage Land Application Site, SLAS-35-10
7. Septage Treatment or Detention Facility, SDTF-35-10
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
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management -Solid Waste Section
1646 Mall Service Center, Raleigh, NC 27699-1646
Fee assessments and waste determinations will be required at the discretion of the wastewater
treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incoming wastewater stream.
I, /iLefYlllJ,f A-II<"'-,()fl( /,'(-('4 k,4--tff?fJ? lk1ec,J~ lui,-11/ 1 (Plant Operator In ~esponsible Charge (ORC), ORC License Number, Name of Plant)
It Lft Wr /-v, CfrwJ A-v(, rlz11/~(J,JA-, tf/( :2 7JJ~ 7 (Address)
(). $'~ tf]l-'f S l(7
(Phone Number)
do hereby authorize /4 ci.r U, 'l-t Le Wt 'r
(Owner/Operator of Septage Management Firm)
of /J; C ~I; SetJ~ G/o,k {
(Septage Management Firm Name and NCS number)
NCS# QI ?17
to dispose of: domestic septage X, , portable toilet waste __ A__._ __ _,
grease septage (grease trap pumpings) ____ commercial/industrial septage ___ __, from
(County or other Geogra 1c Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Xn fl ut0 1--lfeA_ d l Jor-lf
(Location)
between the hours of __ 7.::.,_' · .... ]_IJ_,~-"fr--_ ___..:.+-e_-c-::J;y ..... ffl')........._~a.J,.m_..:..,-,t--:,IYl....i....::::OnLl.-l,,,d,...Je'.,.Jk:__--_kJ=.i:i1:1....c;d,;....ei;...µtl_ J ~l · I
Reintroducing partially treated liquid into a grease trap is acceptable __ Yes ~No
This authorization shall be valid until _p.......,;:5;"'"'C""--.e=""'-'-"'b,. ........... v:'--,,-....,.3'-'/-+-1 -2~a~b~o=--------
(Gsuall{oecember 31, Year)
Signed _:7_'/ ____ /4_..~......,_~dk:-:"--"'---------
r?' (Facility Operator)
Date 2 /)-~(/1
n th-
subscribed and affirmed before me this --------0-· .... ]~_day of F~b ti.Jae] , 20 l j
My Commission expires: '-I f I 7 / ,2 Q.l. 3 /'J,rue K-Q,o(.,.fR .s
(Notary Public) i 1
NINA K ROGERS
Notary ~@ALS L)
North Cerollne
V11tteC01t•t
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Appllcatlon/WWTP Authorization Form 2018