NCS01392_2019Permit_Initial

2019
Permit and Registration
Stallings Rock Store Bar-B-Que
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01392
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.Material removed from an interior point-of-use grease interceptor is treated to remove any free liquids, bagged, and placed into a dumpster. Solid Waste Management Rule
15A NCAC 13B .1626(9)(c)(i) defines “free liquids” as determined by Method 9095 (Paint Filter Liquids Test) S. W. 846.
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
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APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1}
(7.) Septage Disposal Method: (check one)
a)ApJ)l'oved wastewater ll'eatment plant ( ) yes ( )() no. If yes, submit Wastewater Treatment AuthNizationfor each plant, as indicated In Subparagraph .0833(c)ll4) of the Septage Management Rules.
b)Septage Land AppDcatlon Site (SLAS) Permit Numbers: (use additional sheets ff needed)SLAS#: ___ Expralfon Date:___ SLAS#: ___ Expi'ation Date: ___ _
c)Septage Detention or Treatment Facility (SDTF) PeJ'flllt Numbe,s: (use addilional sheets If needed)SDTF#: ___ Expiration Date:___ SDTF#: ___ Expitatlon Date: ___ _
{8.) Septage Management Firm Operate, TraJning Completed: 0-J �Date: _____ Location: ______ _ Hal.I'S: Training Sponsored c, Provided by: _________________ _
(9.) Septage Land Application Site Operator Tralnlng Completed: Date: _____ location: ______ _ Holl'S:TPaining SponS(ft(j (I' Provided by: _________________ _
(10.} Regisll'alion type requested: CHECK ONE R� Pofla!je 8amaton Fim: __ Re(jstered Seplage Management Fim: __ Registered PCl'lable Sanitallon and Septage Management Fi'ITI: __
Certification Statement
I certify that the information and representations in this application for a pennit 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 ns issuance was basoo upon incorrect or inadequate infonnatk:Jn that materially affected too decision to issue the permit and that there are criminal penalties for knowingly making a false statement, rcpresemation, or certification.
Date
Other Comments:
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10/21/2018 Online Restaurant Training (crc)
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