HomeMy WebLinkAboutNCS00759_Permit2019_Initial 2019
Permit and Registration
Hurley Backhoe Services Inc.
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00759
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation &
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. City of Asheboro WWTP
2. Moore County Water Pollution Control Plant 3. Rocky River Regional WWTP, Concord NC
4. Town of Mt. Gilead WWTP 5. Town of Troy 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?**
Mailing Address**
Phone**Fax
Firm Info
Hurley Backhoe Services Inc.
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00759
Enter the five digits following the NCS #
City
Star
State / Province / Region
NORTH CAROLINA
Postal / Zip Code
27356
Country
United States
Street Address
116 Rock Hill Drive
Address Line 2
Montgomery
Yes No
9105710698 9105710697
hurleybackhoeinc@yahoo.com
Owner Info
Steven Hurley
Yes No
City
Star
State / Province / Region
NC
Postal / Zip Code
27356
Country
United States
Street Address
184 Hurley Farm Rd.
Address Line 2
9105710993
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
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
Operator Info
Steven Hurley President
Yes No
City
Star
State / Province / Region
NORTH CAROLINA
Postal / Zip Code
27356
Country
United States
Street Address
184 Hurley Farm Rd.
Address Line 2
9105710698 9105710697
Type and amount of septage pumped in the last 12 months
211,000
36,800
0
0
0
North Carolina counties of operation
Montgomery
Stanly
Moore
Cabarrus
Randolph
Vehicle Info
Yes No
Date**
Title**
Choose how to add vehicle descriptions**
Upload vehicle list**
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**
12/26/2018
President
Add vehicles
individually
Upload List
You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag
#, Vehicle Identification #, and Tank Capacity.
Truck License Plate List.xlsx 10.04KB
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Rocky River Wastewater Treatment
Plant
12/31/2019 Concord
Authorization…
281.96…
City of Asheboro Wastewater Treatment
Plant
12/31/2019 Asheboro
Authorization…
269.03…
Troy Wastewater Treatment Plant 12/31/2019 Troy
Authorization…
259.41…
Moore County Water Pollution Control
Plant
12/31/2019 Moore
Authorization…
274.39…
Mt. Gilead Wastewater Treatment Plant 12/31/2019 Mt. Gilead
Authorization…
288.01…
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Print Name**Title**
1/26/2018 6
Hickory, North Carolina
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
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.
12/13/2018
08:23:34 AM
Steven Hurley
Truck Tank Capacity License number VIN number
2000 Sterling 1400 gal A53887 2F2HAJBC5YAG47965
2007 Chevrolet 950 gal EJ1805 1GBE5C1947F425299
2001 Isuzu 650 gal HU1641 JALB4B14817004623
2001 Isuzu 650 gal FH1705 JALE5B14817901516
2018 Isuzu 950 gal JA8419 54DC4W1B4J5802413
2018 Hurley Backhoe Services, Inc.
License Plates/Usage/VIN numbers
Permit Fee $800.00, paid 03/11/2918
JB