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HomeMy WebLinkAboutNCS01423_Permit2019_Initial 2019 Permit and Registration Affordable Pumping, LLC is hereby issued a Septage Management Firm Permit, Permit Number NCS-01423 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. Septage Detention or Treatment Facilities, SDTF-34-02 and SDTF-36-15 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?** Firm Info Affordable Pumping, LLC The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01423 Enter the five digits following the NCS # City Mint Hill State / Province / Region North Carolina Postal / Zip Code 28227 Country USA Street Address 7427 Matthews Mint Hill Road Address Line 2 Ste. #225 Mecklenburg Yes No 704-593-8744 704-817-9741 affordablepumping@yahoo.com Owner Info DeAnne Jenkins Yes No 704-593-8744 704-817-9741 Operator Info Sed Jenkins Sr.COO Yes No 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 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** 704-593-8744 704-817-9741 Type and amount of septage pumped in the last 12 months 0 0 50,758 0 0 North Carolina counties of operation Union, Cabarrus, Stanley, Iredel,Rowan, Davie, York, Davidson, Forsyth, Guildford, Randolph, Gaston, Lincoln, Catawba Vehicle Info Yes No 12/28/2018 Owner Add vehicles individually Upload List Grease (restaurant)ZJ-4992 1FVACWDC06HW44857 2,400 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. 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 Select one** Comments or notes Yes No Yes No Yes No SDTF-36-15 12/31/2019 Septage Authorization Stanley.pdf 44.91KB SDTF-34-02 12/31/2019 Septage Authorization ERT.pdf 41.66KB Yes No Septage Management Firm Operator Training Completed 10/25/2018 4 Wilksboro, 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 Happy New Year! 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. 12/28/2018 12:49:21 AM DeAnne Jenkins Owner RPAID FIRM NAME: Affordable Pumping, LLC  PERMIT #: NCS‐01423  AMOUNT: $550  PAID BY: e‐check  DATE: 12/28/2018    Chester Cobb