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Home My WebLink AboutNCS01378_Permit2019_Initial 2019 Permit and Registration Royal Restrooms is hereby issued a Septage Management Firm Permit, Permit Number NCS-01378 And by virtue of completing the annual training requirements is hereby registered as a Portable Sanitation 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. City of Lumberton Wastewater Plant 2. Septage Detention or Treatment Facility SDTF-92-12 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 Royal Restrooms The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01378 Enter the five digits following the NCS # City Lumberton State / Province / Region NC Postal / Zip Code 28360 Country United States Street Address 2353 Kenric Rd Address Line 2 Robeson Yes No City Savannah State / Province / Region Georgia Postal / Zip Code 31403 Country United States Street Address PO Box 22033 Address Line 2 866-652-3255 803-832-7611 ross@royalrestroomscarolinas.com Owner Info Emerson Waters 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 Savannah State / Province / Region Georgia Postal / Zip Code 31403 Country United States Street Address PO Box 22033 Address Line 2 912-228-4181 803-832-7611 Operator Info Ross Waters Owner #2 / Vice President Yes No City Savannah State / Province / Region Georgia Postal / Zip Code 31403 Country United States Street Address PO Box 22033 Address Line 2 912-228-4147 803-832-7611 Type and amount of septage pumped in the last 12 months 0 0 0 0 0 North Carolina counties of operation All NC 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** 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 1/11/2019 Vice President Add vehicles individually Upload List Portable Toilet Waste SC: P605857 1GC4KYC89FF147399 450 Portable Toilet Waste GA: RNL0274 1GB3KYCY3JF253629 450 Portable Toilet Waste GA: RDG0325 1GT42VC84GF188541 200 Portable Toilet Waste GA: TS87B45 5MYEE1421KB063327 1,100 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No City of Lumberton Waste Treatment Plant 12/31/2019 WWTP Auth Form - City of Lumberton - EXP 12-31- 19.pdf 518.96… Yes No Yes No 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 Select one** Comments or notes SDTF-36-14 8/15/2019 NC Permit to operate Septage Detention Facility - Gastonia Holding Tank - ALL.pdf 1019.2… Yes No Septage Management Firm Operator Training Completed 1/12/2019 4 Raleigh NC Pumper Group & NC Portable Toilet Group 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 I spoke to Chester Cobb about the Septage Management Firm Operator Training date. We did not attend a class in 2018. Chester agreed that we can use the 1/12/19 class for our 2019 permit. We will also be attending the March 16, 2019 class in Morganton, NC sponsored by NC Portable Toilet Group for our 2020 permit requirements. Vin# 5MYEE1421KB063327 is a trailer. Certification Statement Signature Date Print Name**Title** 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. 1/11/2019 03:32:00 PM Ross Waters Vice President diiy of-JlumfjE-xtonPUBLIC UTfUTIES LABORATORYPOST OFFICE BOX 13S8X um^£^ton, daxotina28359-1388700 LAFAYETTE STREET910-671-3858December 21, 2018To: Mr. Ross WatersRoyal Restrooms of the Carolinas2353 Kenric Dr.Lumberton, NC 28360Enclosed is your Authorization to Discharge hauled waste into the City of Lumberton Waste Treatment Plant.The point of release will be the Influent basin located at the City of Lumberton Waste Treatment Plant at 700Lafayette Street Lumberton, NC. Monday thru Friday 7am till 4pm. No other point of release will be allowed.Please note that a pH of at least 5 must be met prior to discharging into the system. A container to collect asample will be provided upon arrival.The City of Lumberton will assess a charge of four cent (.041 per gallon of hauled waste and eight cent COS) pergallon of Industrial waste. Invoices 30 days past due will halt all waste hauling activity with the City of Lumberton untilthe delinquent Invoices are satisfied.The City of Lumberton reserves the right to revoke these privileges if probable cause is found that RoyalRestrooms of the Carolinas caused a negative effect on the environment due to its hauling practices.Contact Information below:Tammy Smith; Laboratory SupervisorEmail: tsmiih(aci.lumberton.nc.us Office: 910-671-3858Beverly Allen; Pretreatment OfficerEmail: batlenta'ci.lumberton.nc.us Office: 910-671-4084Sincerely,Tammy SmithLaboratory Supervisor AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITYNorth Carolina Department of Environment and Natural ResourcesDivision of Waste Management - Solid Waste Section1646 Mall Service Center, Raleigh, NC 27699-1646Fee assessments and waste determinations will be required at the discretion of the wastewater treatment facility. The facility hasthe ultimate prerogative to deny discharges of any wastes to the Incoming wastewater stream.I, Harold Walton: ORC # 993646 Citv of Lumberton Waste Treatment Plant(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)700 Lafayette Street, Lumberton. NC 28358 910-671-3858(Address) (Phone Number)do hereby authorize Ross Waters (9i2)-228-4i47 (officei mobile (9l2)-3l3-9887(Owner/Operator of Septage Management Firm)of Roval Restrooms of the Carolinas 2353 Kenric Dr. Lumberton. NC 28360 NCS# 01378 FEIN: 20-5613522(Septage Management Firm Name and NCS number)to dispose of: domestic septage YeS , portable toilet waste Vcs ,grease septage (grease trap pumpings) NO commercial/industrial septage Yes , fromRobeson and Surrounding Counties(County or other Geographic Area)at the above named wastewater treatment facility. Septage shall be discharged at:The Influent Basin at 700 Lafayette Street Lumberton. NC 28358(Location)between the hours of 7 am to 4 pm Monday-Friday. No weekends or HolidaysReintroducing partially treated liquid into a grease trap is acceptable Yes X NoThis authorization shall be valid until December 31^^ 2019(Usually December 31, Year)Signed Date /Z' /■2 ! //^(Facility Operator)Subscribed and affirmed before me thisd! day ofMy Commission expires:(Notary Public)(OFFICIAL SEAL)Note: Falsification of this document by the septage management firm shall lead to permit revocation.S:/Solid_Waste/CLA/SEPTAGE/FORMS/2014 Firm Application/WWTP Authorization Form 2014 PayPoint Payment Receipt Application: Solid Waste Credit Merchant: NDENR-Solid Waste Credit Merchant City/State: Raleigh, North Carolina Merchant Location Code: 00001 Payment Status: Settled Result Message: Payment completed and settled successfully. Payment Date: 11/15/2018 Posting Date: 11/15/2018 Billing Information: BRIAN E DIXON 670 WIGGINS RD ANGIER, NC 27501 9194271623 STAYCLEANINC@YAHOO.COM Payment Amount: 800.00 USD Method: Not Present Reference Information: NCS-00304-2019,27501,Stay Clean,670 Wiggins Road,Angier,NC,NCS-00304,$800.00 Page 1 of 1 Disclaimer: A convenience fee is charged by a third-party provider for all online payments made by a credit or debit card. DEQ does not receive any portion of these fees associated with this service. The fee is currently 2.65% of the amount paid on all credit and debit card transactions, except for VISA debit, which has a flat fee of $3.95 per transaction. Your card will not be charged until after you have accepted the convenience fee amount. If you choose not to pay the fee, you may cancel the transaction and pay by another method. If you accept the convenience fee and elect to continue, your credit card statement will show two charges -one for the amount due to DEQ, and one for the convenience fee. The convenience fee is not refundable. https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 11/16/2018