HomeMy WebLinkAboutNCS01440_Permit2019_Initial 2019
Permit and Registration
Eastern Septic & Inspections, LLC
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01440
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. Central Johnston County Regional WWTP
2. Cross Creek WRF 3. Spring Lake Regional 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
Eastern Septic & Inspections LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01440
Enter the five digits following the NCS #
City
Erwin
State / Province / Region
NC
Postal / Zip Code
28339
Country
United States
Street Address
283 Pump Station Road
Address Line 2
Harnett
Yes No
910-580-1500
easternseptic@gmail.com
Owner Info
Shane MacDonald
Yes No
9105801500
Operator Info
Shane MacDonald Owner/Operator
Yes No
910-580-1500
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**
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.
Type and amount of septage pumped in the last 12 months
76,000
0
0
0
0
North Carolina counties of operation
Harnett, Cumberland, Johnston, Hoke, Sampson & Wake
Vehicle Info
Yes No
11/14/2018
Owner/Operator
Add vehicles
individually
Upload List
Domestic Septage YA142025 1FDXF7DE4GDA06667 2,500
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
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**
Comments or notes
Cross Creek WWTP 12/31/2019 img031.jpg 636KB
Central Johnston County Regional WWTP 12/31/2018 img035.jpg 634.33…
Spring Lake Regional WWTP 12/31/2018 img036.jpg 580.91…
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
2/1/2018 4
Hickory, NC
NC Septic Tank Association
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
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.
11/14/2018
05:34:54 PM
Shane MacDonald
PayPoint
Payment Receipt
Application: Solid Waste Credit
Mer·chant: NDENR-Solid Waste Credit
Merchant City/State: Raleigh, North Carolina
Jlllerchant Location Code: 00001
Payment Status: Success
Result Message: Success
Payment Date: 11/14/2018
Posting Date: 11/14/2018
Billing Information: Eastern Septic & Inspections LLC 283 Pump Station Rd Erwin, NC 28339 9105801500 easternseptic@gmail.com
Payment Amount: 550.00 USD
Method: Not Present
Page 1 of 1
Reference Information: NCS-01440-2019,28339,Eastern Septic & Inspections, LLC,283 Pump Station Road,Erwin,NC,NCS-01440,$550.00
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https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 11/15/2018