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Home My WebLink AboutNCS01358_Permit2019_Initial 2019 Permit and Registration Express Jet Services is hereby issued a Septage Management Firm Permit, Permit Number NCS-01358 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. Brooks Farm Compost Facility, SWC-19-05, Goldston NC 2. Septage Detention or Treatment Facility SDTF-19-08 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?** Mailing Address** Phone**Fax Email** Firm owner's name** Mailing address same as street address of office?** Mailing Address** Firm Info Express Jet Services The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01358 Enter the five digits following the NCS # City Wake Forest State / Province / Region North Carolina Postal / Zip Code 27587 Country USA Street Address 8345 Southmoor Hill Trail Address Line 2 Wake Yes No City Wake Forest State / Province / Region North Carolina Postal / Zip Code 27588 Country United States Street Address PO BOX 133 Address Line 2 19197300523 Adam@expressjetnc.com Owner Info Jamie Adam Beasley 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 Wake Forest State / Province / Region NC Postal / Zip Code 27588 Country United States Street Address PO BOX 133 Address Line 2 19197300523 Operator Info Jamie Adam Beasley Owner Yes No City Wake Forest State / Province / Region NC Postal / Zip Code 27588 Country United States Street Address PO BOX 133 Address Line 2 19197300523 Type and amount of septage pumped in the last 12 months 2,000 0 600,000 0 0 North Carolina counties of operation All 100 Counties 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** 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** 12/21/2018 Owner Add vehicles individually Upload List Grease (restaurant)ZB52576 1M1AW07Y1BM014340 5,400 Grease (restaurant)ZB53950 2HSFMAERXXC092529 800 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Yes No Yes No SDTF-98-08 12/31/2019 LetterOfAccep…86.27KB SDTF-Brook 12/31/2019 LetterOfAccep…278.54… Yes No Septage Management Firm Operator Training Completed 12/8/2018 6 NC State Faiirgrounds, Raleigh NC NC Pumper Group & NC Portable Toilet Group Date Hours Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** 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. 12/21/2018 03:30:40 PM Jamie Adam Beasley Owner PAID FIRM NAME: Express Jet Services PERMIT #: NCS-01358 AMOUNT: $800 PAID BY: e-card DATE: 12/21/18 Chester Cobb