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Home My WebLink AboutNCS01262_Permit2019_Initial 5/29/2019 Michael Holsomback Paradise Cove Marina 1242 Paradise Shores Rd Merritt NC 28556 Re: Permit to Operate a Septage Management Facility Paradise Cove Marina NCS-01262 Dear Mr. Holsomback: 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-69-33 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: John Farnell, Environmental Specialist II, Wilmington Regional Office Pamlico County Health Department APPLICATION FOR A PERMIT TO OPERATE A SEPTAGE MANAGEMENT FACILITY (NON-PUMPER - $200 FEE PER FACILITY) DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION 1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646 (1.) Facility name: Street address of office Mailing address (if different) County (2.) Facility owner's name Mailing address Phone: Email: (3.) Facility operator's name Facility operator’s title Mailing address Phone Email: (4.) Type(s) of septage managed (check all that apply) Domestic Portable Toilet Waste Grease (restaurant) _________ Treatment Plant Industrial/Commercial (5) Facility Types: Check all that are applicable and provide the permit numbers. a) Septage land application site ____________________________________________________ b) Boat pump-out storage _________________________________________________________ c) Septage storage tanks _________________________________________________________ d) Septage treatment _________________________________________________________ e) Grease treatment _________________________________________________________ (6) Name and Permit Number of all permitted Septage Management Firms using facility: (1) _____________________________________________________________________________ (2) _____________________________________________________________________________ (3) _____________________________________________________________________________ (Use additional sheets if necessary) 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* Date Print Name Title *Signature of company official required. S:Solid_Waste/CLA/septage/forms/2018 Firm Application/Non-Pumper-2018 Paradise Cove Marina 1242 Paradise Shores Rd. Merritt, NC 28556 Pamlico Michael Holsomback 1242 Paradise Shores Rd. Merritt, NC 28556 336-554-3043 mike@paradisecovenc.com Michael Holsomback Owner 1242 Paradise Shores Rd. Merritt, NC 28556 336-554-3043 mike@paradisecovenc.com X No Additional Firms 4/15/2019 OwnerMichael D Holsomback PayPoint Payment Receipt Application: Solid Waste Credit Merchant: NDENR-Solid Waste Credit Merchant City/State: Ralel�h, North Carolina Merchant Location Code: 00001 Payment Status: Success Result Message: Success Confirmation Number: 19041514483331 Payment Date: 04/15/2019 Posting Date: 04/15/2019 Billing Information: Michael Holsomback 1242 Paradise Shores Rd. Merritt, NC 28556 3365543043 mike@paradisecovenc.com Payment Amount: 200.00 USD Card Type: MC Method: Not Present Page 1 of 1 Reference Information: NCS-01262-2019,28556,Paradise Cove Marina,1242 Paradise Shores Rd,Merritt,NC,NCS-01262,$200.00 Disclaimer: A convenience fee is charged by a third-party provider for all online payments made by a credit or debit card. DEQ does not receive any portion of these fees associated with this service. The fee is currently 2.65% of the amount paid on all credit and debit card transactions, except for VISA debit, which has a flat fee of $3.95 per transaction. Your card will not be charged until after you have accepted the convenience fee amount. If you choose not to pay the fee, you may cancel the transaction and pay by another method. If you accept the convenience fee and elect to continue, your credit card statement will show two charges -one for the amount due to DEQ, and one for the convenience fee. The convenience fee is not refundable. https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 4/16/2019 PayPoint Payment Receipt Application: Solid Waste Credit Merchant: NDENR-Solid Waste Credit Merchant City/State: Raleigh, North Carolina Merchant Location Code: 00001 Payment Status: Success Result Message: Success Confirmation Number: 19042816902102 Payment Date: 04/28/2019 Posting Date: 04/28/2019 Billing Information: MICHAEL HOLSOMBACK 1242 Paradise Shores Rd. Merritt, NC 28556 3365543043 mike@paradisecovenc.com Payment Amount: 100.00 USD Method: Not Present Page 1 of 1 Reference Information: NCS-01262-2019LF,28556,Paradise Cove Marina,1242 Paradise Shores Rd,Merritt,NC,NCS-01262,$100.00 Disclaimer: A convenience fee is charged by a third-party provider for all oniine payments made by a credit or debit card. DEQ does not receive any portion of these fees associated with this service. The fee is currently 2.65% of the amount paid on all credit and debit card transactions, except for VISA debit, which has a flat fee of $3.95 per transaction. Your card will not be charged until after you have accepted the convenience fee amount. If you choose not to pay the fee, you may cancel the transaction and pay by another method. If you accept the convenience fee and elect to continue, your credit card statement will show two charges -one for the amount due to DEQ, and one for the convenience fee. The convenience fee is not refundable. https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 4/29/2019