The URL can be used to link to this page

Home My WebLink AboutNCS01055_2019Permit_Initial 2019 Permit and Registration Steele Creek Marina is hereby issued a Septage Management Firm Permit, Permit Number NCS-01055 And by virtue of completing the annual training requirements is hereby registered as a Portable Sanitation 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. On-Site Dump Station that is connected to an on-site wastewater system. 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 APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION – 1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646 (1.) Firm name: (The “Firm name” must be exactly as it is shown on your vehicle(s)). Street address of office: City: State: ___ Zip: Mailing address (if different): City: ______________ State: ________Zip: _________________________ Phone: Fax: ________________________________________ E-Mail: ______________________________________________________________________________ County: Septage Management Firm permit number: NCS # (2.) Firm owner's name: Mailing address (if different): City: ______________ State: _______ Zip: _________________________ Phone: Fax: ________________________________________ (3.) Firm operator's name: Firm operator’s title: Mailing address (if different): City: ______________ State: _______ Zip: _________________________ Phone: Fax: ________________________________________ (4.) Type(s) of septage pumped: Write in the number of gallons pumped in 2017 (Example: Domestic: 50,000). Domestic Portable Toilet Waste Grease (Restaurant) Treatment Plant Industrial/Commercial (5.) N.C. Counties of Operation: _______ ____________________________________________________________________________________ (List each county you are authorized to do business in) (6.) Total Number of Pumper Vehicles Operated: Number used for: Domestic Septage:___________ Grease (restaurant): ____________ Other: ____________________ Portable Toilet Waste: __________ Vehicle Information: (use additional paper if needed) License Tag # Vehicle Identification # Tank Capacity 1 2 3 4 5 APPLICATION CONTINUED ON PAGE 2 PAGE 1 Steele Creek Marina 1616 TOWNSVILLE LANDING RD HENDERSON NC 27537 Henderson NC 27536 252-213-4443 charles@perfectionautoandmarine.com Vance 01055 7,725 Vance 1 Charles Robinson 252-213-4443 PO Box 678 1 225NC 3235 AYBoat 18 APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM (CONTINUED FROM PAGE 1) (7.) Septage Disposal Method: (check one) a) Approved wastewater treatment plant: ( ) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each plant, as indicated in Subparagraph .0833(c)(14) of the Septage Management Rules. b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed) SLAS#: Expiration Date: SLAS#: Expiration Date: ____________ c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed) SDTF#: Expiration Date: _ SDTF#: Expiration Date: ____________ (8.) Septage Management Firm Operator Training Completed: Date: _________________ Location: _______________________ Hours: _____ Training Sponsored or Provided by: _____________________________________________________________ (9.) Septage Land Application Site Operator Training Completed: Date: _________________ Location: _______________________ Hours: _____ Training Sponsored or Provided by: _____________________________________________________________ (10.) Registration type requested: CHECK ONE Registered Portable Sanitation Firm: ______ Registered Septage Management Firm: ______ Registered Portable Sanitation and Septage Management Firm: ______ 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. ______ Signature (Signature of company official required) Date ______ Print Name Title Other Comments: S:/Solid_Waste:/CLA/SEPTAGE/FORMS/2018 Firm Application/FirmPermitApplication2018 PAGE 2 12/8/2018 NC Pumper Group Raleigh, NC KT Moore Septic Tank Service Inc Permit # NCS-00758 4 Charles Robinson 5/2/19 President From:Jill Robinson To:Cobb, Chester Cc:Charles Robinson Subject:[External] Steele Creek Marina Permit App Date:Thursday, May 02, 2019 10:34:47 AM Attachments:Steele Creek Marina Application.pdf CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to report.spam@nc.gov Chester, Thanks for taking my call today. Attached is the completed application. Please let me know if you need any additional information to process our 2019 permit. Thanks, Jill Robinson | Owner CWR Enterprises, Inc. dba Steele Creek Marina | Jet Joe’s Marine Perfection Auto Body & Marine Repair | Pro Tow Wrecker/Rollback Service Mail - PO Box 772 Henderson, NC 27536 Mobile - 252.213.4401 Office - 252.430.6209 Fax - 252.431.1691 Marina - 252.492.1426 The contents of this e-mail message may be privileged and/or confidential. If you are not the intended recipient, any review,dissemination, copying, distribution or other use of the contents of this message or any attachment by you is strictly prohibited. If youreceive this communication in error, please notify us immediately by return e-mail or by telephone (252-213-4401), and please delete thismessage and all attachments from your system. Thank you. NC SEPTAGE MANAGEMENT FIRM S:\Solid_Waste\cla\septage\forms\Pumper Vehicles Cetification.doc Recertification of Pumper Vehicle(s) Septage Firm Permit #: NCS- Number of Pumper Vehicles: CERTIFICATION: “I certify, under penalty of law, that the pumper vehicle or vehicles listed in the submitted permit application meet the requirements for safe and sanitary transportation of septage as required by15A NCAC 13B .0844 (a) and vehicle lettering as required by 15A NCAC 13B .0844 (b). 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 are significant penalties for false certification including the possibility of fine and imprisonment.” Signature (Signature of company official required) Date Print Name Title 1 01055 Charles Robinson 5/2/19 president