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Home My WebLink AboutNCS00121_Permit2019_Initial 2019 Permit and Registration Waste Management of Wilmington is hereby issued a Septage Management Firm Permit, Permit Number NCS-00121 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. Septage Detention or Treatment Facilities, SDTF-25-08, SDTF-65-01, and SDTF-67-01 2. Septage Land Application Site, SLAS-24-08 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 Waste Management of Wilmington The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00121 Enter the five digits following the NCS # City Wilmington State / Province / Region NC Postal / Zip Code 28412 Country USA Street Address 3920 River Rd Address Line 2 New Hanover Yes No 9109159040 dgreerj@wm.com Owner Info Waste Management of Wilmington Yes No 9109159040 Operator Info David Greer District Operations Manager Yes No 9109159040 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* Type and amount of septage pumped in the last 12 months 674,661 144,000 3,314,890 0 0 North Carolina counties of operation New Hanover, Pender, Onslow, Carteret, Jones, Duplin, Sampson, Bladen, Columbus, Brunswick, Craven, Pamilico Vehicle Info Yes No 12/10/2018 District Operations Manager Add vehicles individually Upload List Domestic Septage NC-YA30971 4V2JCBMDXRR825599 3,500 Grease (restaurant)NC-YA97392 1M2AG11C16M035500 3,500 Grease (restaurant)NC-YA008461 1M2AG11C37M065907 4,200 Portable Toilet Waste NC-YA81518 1FVACXCS74HN12612 1,500 Portable Toilet Waste NC-YA81517 1FVACXCS94HN12613 1,500 Portable Toilet Waste NC-LX3167 15VACXCS45HU32430 1,500 Approved wastewater treatment plant** Septage Land Application Sites (SLAS)** If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #*Expiration Date*Authorization 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 Other NC-YA94015 1M2AA05Y8LW002429 0 Other NC-LP7795 3WKDDU9XXYF850438 0 Other NC-AY31311 10BGX5210KF0A1600 5,500 Other NC-AH31307 10GBU6216FF007620 6,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Yes No SLAS-24-08 5/4/2020 Yes No SDTF-65-01 6/11/2018 SDTF-67-01 8/30/2022 SDTF-25-08 9/30/2021 Disposal Auth.pdf 18.85KB 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 2/2/2018 3 Hickory, NC Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** Hickory, NC NC Septic Tank Association 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. 12/10/2018 12:51:57 AM David Greer District Operations Manager RPAID FIRM NAME: Waste Management of Wilmington PERMIT #: NCS‐00121 AMOUNT: $800 PAID BY: e‐card DATE: 1/8/2019 Chester Cobb