NCS01387_Permit2019_Initial

2019
Permit and Registration

W2 Septic Pumping, LLC
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01387
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. Neuse River Resource Recovery Facility
2. Septage Detention or Treatment Facility SDTF-43-07 and SDTF-92-11
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?**
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
Firm name**
W2 Septic Pumping LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)**
NCS-01387
Enter the five digits following the NCS #
City
Coats
State / Province / Region
NC
Postal / Zip Code
27521
Country
US
Street Address
2858 Bailey Rd
Address Line 2
Harnett
Yes No
9198942987 9198945907
[e-mail]
Owner Info
Gary and Wendy Willis
Yes No
9198942987 9198945907
Operator Info
Wendy Willis Office Manager
Yes No
9198942987 9198945907
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**
Type and amount of septage pumped in the last 12 months
48,630
0
21,500
0
72,500
North Carolina counties of operation
Harnett, Johnston, Wake, Lee, Cumberland, Orange, Durham, Chatham, Lee,
Duplin, Brunswick, Wayne, Edgecombe, Hoke, Richmond, Moore, Paquotank
Vehicle Info
Yes No
3/11/2019
Secretary
Add vehicles
individually
Upload List
Domestic Septage YA136626 1NKDL40X6BJ284162 4,000
Grease (restaurant)YA136626 1NKDL40X6BJ284162 4,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
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
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**
Neuse River Resource Recovery
Facility
12/31/2019
Yes No
Yes No
SDTF-43-07 8/31/2019
SDTF-92-11 12/31/2019 W2 Setic
Pump.pdf
68.05KB
Yes No
Septage Management Firm Operator Training Completed
12/8/2018 4
North Carolina Fairgrounds Governer Martin Building 1025 Blue
Ride Road
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
0
Registration Type
Comments or notes
Signature
Date
Print Name**Title**
Registered Portable Sanitation Firm
Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments and Notes
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.
3/11/2019
08:26:47 AM
Wendy H Willis Secretary
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
Division of Waste Management - Solid Waste Section
401 Oberiin Rd., Ste. 150, Raleigh, N.C. 27605
D^eiliOAL
Fee assessments and waste determinations will be required at the discretion of the wastewater treatment
facility. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming
wastewater stream.
I, Nathan Howell: Citv of Raleigh / Neuse River Resource Recovery Facility fNRRRF)
(Plant Operator and Name of Plant)
8500 Battle Bridge Road. Raleiah. NO 27610 (P. 0. Box 590. Raleiah. NO 27602)
[phone]
(Phone Number)
of W2 Septic Pumping, LLC
(Address)
.do hereby authorize Wendy Willis
(Owner/Operator of Septage Management Firm)
NCS01387
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X , portable toilet waste X
grease septage (grease trap pumpings)
Wake County
N/A commercial/industrial septage N/A , from
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
8500 Battle Bridge Road. Raleigh, NC 27610
(Location)
8am - 4pm Monday Thru Friday (Except Holidays)between the hours of _
Relntroducing partially treated liquid into a grease trap is acceptable
This authorization shall be valid until December 31.2019
Yes X No
Signed Dtucy
(Usually December 31. Year)
Date
ccii I
(Facility Operator)
Swom to and^ubscr ^d before me this istb
(Notary Public)
day of TVyi 20 M
My Commission expires:
(OFFICIAL SEAL)
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
ANGELA LYOUNG
NOTARY PUBLIC
Wake County
North Carolina
My Commt88lon Explrea Febfuary 4,2024