Loading...
HomeMy WebLinkAboutNCS01370_Permit2019_Initial 2019 Permit and Registration Creech's Plumbing Septic & Grease is hereby issued a Septage Management Firm Permit, Permit Number NCS-01370 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. Hominy Creek WWTP 2. Tar River Regional WWTP 3. Septage Detention or Treatment Facility SDTF-98-08 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?** 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 Creech's Plumbing Septic & Grease The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01370 Enter the five digits following the NCS # City Wilson State / Province / Region NC Postal / Zip Code 27896 Country US Street Address 3506 Jetstream Drive Address Line 2 Wilson Yes No 2522377733 stacycreech@creechsplumbing.com Owner Info James Stacy Creech Yes No 2522377733 Operator Info James Stacy Creech President Yes No 2522377733 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* Approved wastewater treatment plant** Type and amount of septage pumped in the last 12 months 300,000 80,000 100,000 0 40,000 North Carolina counties of operation Wilson, Wayne, Johnston, Edgecombe, Pitt, Halifax, Northampton, Franklin, Wake, Greene, Warren Vehicle Info Yes No 12/8/2018 President Add vehicles individually Upload List Domestic Septage YA135260 1NKZLK9X2HJ166938 4,000 Portable Toilet Waste HY-7018 3C7WRNFL1HG547819 800 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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** Date Hours Location Training Sponsored or Provided by Tar River Regional Wastewater Treatment Plant 12/31/2019 scan0004.pdf 172.03… Hominy Creek Water Reclamation Facility 12/31/2019 scan0004.pdf 172.03… Yes No Yes No SDTF-98-08 12/31/2019 Discharge Authorization s 2019.pdf 172.03… Yes No Septage Management Firm Operator Training Completed 12/8/2018 4 Gov. Martin Building Raleigh NC NC Pumper Group & NC Portable Toilet Group Septage Land Application Site Operator Training Completed 0 Registration Type Select one** Comments or notes Signature Date Print Name**Title** 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. 12/8/2018 01:41:49 PM James Stacy Creech President PAID FIRM NAME: Creech's Plumbing Septic & Grease PERMIT #: NCS-01370 AMOUNT: $800 PAID BY: e-card DATE: 12/12/18 Chester Cobb