NCS00934_2019Permit_Initial

January 9, 2019

Mr. Rodney Sides Environmental Relief Technologies Inc.
PO Box 208 Lewisville NC 27023
Re: Permit to Operate a Septage Management Facility
Firm Name NCS-00934
Dear Mr. Sides:

The Division of Waste Management, Solid Waste Section, has received your “Application for a Permit to Operate a Septage Management Facility” and payment in the amount of $200.00.

You are hereby issued a 2019 Permit to Operate a Septage Management Facility for the following facilities:
Septage Detention or Treatment Facility, SDTF-34-02
This permit is valid from January 1, 2019 until December 31, 2019. If you have any questions or need to make any changes to this permit, please feel free to contact Mr. Chester Cobb at 919-707-8283 or Mr. Jeffrey Bullard at 919-707-8285.

Sincerely,

Adam Ulishney
Environmental Compliance Branch Head
Solid Waste Section

cc: Troy Harrison, Environmental Specialist II, Asheville Regional Office Forsyth County Health Department
State of North Carolina
Environmental Quality
Waste Management
Non-Pumper Application for a Permit
to Operate a Septage Management
Facility
NON-PUMPER - $200 FEE PER FACILITY
Facility Name:**
Street address:**
Street address - City:**
Street address - State:**
Street address - Zip:**
Street address - County:**
Mailing address same as Street
address:**
Mailing address:**
Mailing address - City:**
Mailing address - State:**
Mailing address - Zip:**
Facility Owner's Name:**
Mailing address:**
Mailing address - City:**
Mailing address - State:**
Mailing address - Zip:**
Phone:**
Email:**
Facility Operator's Name:**
Mailing address:**
Mailing address - City:**
Mailing address - State:**
Mailing address - Zip:**
Phone:**
Email:
Facility
Envrionmental Relief Technology Inc.
617 Waughtown Street
Winston-Salem
NC
27107
Forsyth
Yes No
PO Box 208
Lewisville
NC
27023
Owner
Rodney Sides
3042 Panther Ridge Lane
Lewisville
NC
27023
704-904-0300
[e-mail]
Operator
Rodney Sides
3042 Panther Ridge Lane
Lewisville
NC
27023
704-904-0300
Type(s) of septage managed:**
Facility Types:
Provide the permit numbers for all that are applicable.
a. Septage Land Application Site
b. Boat Pump-Out Storage
c. Septage Storage Tanks
d. Septage Treatment
e. Grease Treatment
Septage Management firms using facility:
Provide name and permit number of all permitted septage management firms using facility.
Permit Number Firm Name
11
22
33
44
55
66
77
88
99
1010
1111
1212
1313
1414
1515
1616
1717
1818
1919
Septage
(check all that apply)
Domestic Portable Toilet Waste Grease (restaurant)
Treatment Plant Industrial/Commercial
SDTF 34-02
NCS 01162 A&D Environmental
NCS00997 Affordable Septic & Grease
Pumping LLC
NCS01423 Affordable Pumping LLC
NCS01138 B&M Septic Tank
NCS01050 Better Choice Septic Tank
Pumping
NCS01093 Carolina Septic
NCS00776 Forsyth Rooter Service, Inc.
NCS00512 Jetco Pumping Service
NCS01275 JW Septic Service LLC
NCS01353 McPherson's Septic Tank
Service Inc.
NCS01369 MP Pumping LLC
NCS00330 North State Pumping Service
NCS00711 PD Quik
NCS00310 Pee Wee's Septic Tank Cleaning
NCS01068 Piedmont Disposal
NCS01445 Pumping Brothers of the Triad
LLC
NCS01010 Pumpmasters
NCS00830 Queen's Septic Tank
NCS01427 Riddle Septic Solutions LLC
2020
2121
2222
2323
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:
Date:
Title:
Email:**
NCS00052 Sprinkle Septic Tank Company
NCS00641 Transou Forsyth Septic Tank
Pumping Service Inc
NCS01172 Triad 24 LLC
NCS00531 Ward Brothers LLC
Certification
(signature of company official required)
11/7/2018
Owner
[e-mail]