NCS01451_Permit2019_Initial

2019
Permit and Registration

Proguard Septic Services
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01451
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. Town of Waynesville WWTP
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
PAGE 1
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Seo� Disposal Melhod: (check one)
a) Appro'/ed wastewa ler treatment plant ( /4s ( ) no. If yes. suomit Wastewa'.or Trea1ment Au:horiza6onfor each plant as indicated in Subparagraph .0833(c)(1 4) ol the Septage Management Rules.
bi Sepiage Land Aj)plication Site (SlAS) Penni1 Numbers: (use addilional shears if needed)
SL AS#: ___ E,µration Dale:____ SLAS': ___ Ex:,iranoo Date: ___ _
c; Seolage Detention or Treatment Fa<:ility (SDTF) Pe,mrt Numbers: (use addi1iooal sheecs i1 needed)
SDTF#: ____ Expiralion Dale:____ S(lTF#: ____ Ex;,;ation Date: ___ _
(8.) Septage Management.Firm Opera:or T rairw,g Completed: Date: hi c :s:"'" ri v'I r locaoon: .81>-S,, .... , .. t,'i·�,'b�----Tra·ning Sponsored or Pro,·ided by: a'-�i�<-'--P�-�•--,p�; �,�t�kuc u�·•"i; fr-------------tiours:.::I_
(9.) Seotage land Applicaoon Sile Operator Training Completed: Date: -:::-cc-:-::-.-�::--:location: T 'a ining Spons0<ed or Provided by:
--------
(1 0.) Regstrabon type requesled: CHECK ONE Regislcred Ponab.<e 5anilation Fm,: _
RegiSlered Sep!ai;e Managerrent F1TTI: � Registered Por table Sanitabon and Seplage Management Firm: _
Certification Statement
P.ours:_
I certify that the information and represet1tations in this applicat ion for a pennit are true. complete, and accurate to the best of my knowledge and beli ef. I am aware that a permit may be suspended or revoked upon a finding that its
issuance was based upon inc0<rtet or inadequate information that materially affected the decjsion to issue the
permit and that there are crlminal penalties for know;ngty making a fa lse statement, representation, er certification.
!dJ/V\
Sign re (Signiture of p,any official roquired) Kvt /1<;.c/<' r i ''2
Pnnt ame
Other Comments:
II, -)I,;,-If{_
r111e
PAGE2
12/28/2018 _____________
scj
PAID
FIRM NAME: Proguard Septic Services
PERMIT #: NCS-01451
AMOUNT: $550
PAID BY: e-check
DATE: 12/26/18

Chester Cobb