HomeMy WebLinkAboutNCS01436_Permit2019_Initial2019
Permit and Registration
Triangle Grease and Septic
Services
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01436
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.Big Buffalo WWTP, Sanford NC
2. Cross Creek WRF, Fayetteville NC
3.Neuse River Resource Recovery Facility, Raleigh NC
4.North and South Durham Water Reclamation Facilities
5.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).
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
Firm name**
Triangle Grease And Septic services
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)**
NCS-01436
Enter the five digits following the NCS #
City
Sanford
State / Province / Region
North Carolina
Postal / Zip Code
27332
Country
United States
Street Address
567 holder rd
Address Line 2
567 holder rd
Lee
Yes No
City
Lemon Springs
State / Province / Region
North Carolina
Postal / Zip Code
28355
Country
United States
Street Address
P.O.BOX 453
Address Line 2
9198974231
greasenseptic@gmail.com
Owner Info
Esther Saucedo
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
City
Lemon Springs
State / Province / Region
North Carolina
Postal / Zip Code
28355
Country
United States
Street Address
P.O.BOX 453
Address Line 2
9198974231
Operator Info
Rousbel Saucedo Driver
Yes No
City
Lemon Springs
State / Province / Region
North Carolina
Postal / Zip Code
28355
Country
United States
Street Address
P.O.BOX 453
Address Line 2
9198974231
Type and amount of septage pumped in the last 12 months
31,000
0
1,000
0
0
North Carolina counties of operation
Lee,Hornett,Moore,wake,Durham,hoke
Cumberland,Chatham
Vehicle Info
Yes No
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.
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**
1/7/2019
Driver
Add vehicles
individually
Upload List
Domestic Septage YA143617 1M1AK06YX7N022449 3,700
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Feyetteville 12/31/2019 20181228_2138…3.88MB
Durham 12/31/2019 20181228_2104…4.14MB
Nathan howel 12/31/2019 20181228_2103…4.08MB
Big Bufalo sanford 12/31/2019 20181228_1858…4.63MB
Yes No
Yes No
Yes No
PAID
FIRM NAME: Triangle Grease & Septic Service
PERMIT #: NCS-01436
AMOUNT: $550
PAID BY: e-check
DATE: 12/03/2018
Chester Cobb