NCS01396_Permit2019_Initial

2019
Permit and Registration

C & J Portable Toilets
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01396
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 Hendersonville WWTP

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
C&J Portable Toilets
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01396
Enter the five digits following the NCS #
City
Greer
State / Province / Region
SC
Postal / Zip Code
29651
Country
United States
Street Address
815 Poplar Drive Ext
Address Line 2
Out-of-State
Yes No
864-877-8887 864-877-4023
[e-mail]
Owner Info
Chad Painter and Joshua Painter
Yes No
864-982-9914 864-877-4023
Operator Info
Joshua Painter Partner
Yes No
864-982-9911 864-982-9911
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*
Type and amount of septage pumped in the last 12 months
0
10,000
0
0
0
North Carolina counties of operation
Henderson, Transylvania, Polk and Rutherford
Vehicle Info
Yes No
12/27/2018
Partner
Add vehicles
individually
Upload List
Portable Toilet Waste P622579 5PVNJ8JT3F4556189 1,100
Portable Toilet Waste P509597 1GDK7C1C24F501663 1,100
Portable Toilet Waste P510869 5PVNJ8JT6G4S56561 1,100
Portable Toilet Waste P643338 JHHRDM2H4JK005436 550
Portable Toilet Waste P649901 JALEW166E7302595 700
Septage Disposal Method
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)**
Other disposal method**
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
Training Sponsored or Provided by
Select one**
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
City of Hendersonville 12/31/2019 Permit No 27
package.pdf
213.81…
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
11/2/2018 4
Hendersonville
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
Comments or notes
Signature
Date
Print Name**Title**
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.
12/27/2018
08:22:42 PM
Joshua Painter Partner
SEPTAGE DISCHARGE
4

AGREEMENT

I agree to abide by the policy described above in order to discharge wastes into the City of Hendersonville facilities.

Company C & J Portable Toilets
Mailing Address: 815 Poplar Drive Ext
Greer, SC 29651
NCS No.

Telephone No. 864-982-9911

Signed: Authorized Individual

Print:
Date:
Joshua Painter
12/5/2018
NCS-01396
PAID
FIRM NAME: C & J Portable Toilets
PERMIT #: NCS-01396
AMOUNT: $800
PAID BY: e-card
DATE: 12/27/18

Chester Cobb