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HomeMy WebLinkAboutNCS00145_2019Permit_Initial 2019 Permit and Registration Comer Sanitary Service Inc is hereby issued a Septage Management Firm Permit, Permit Number NCS-00145 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. Lexington Regional 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 State of North Carolina Environmental Quality Waste Management Application for Permit to Operate a Septage Management Firm For questions regarding this form or the online application process, please contact Jeffrey Bullard (919-707-8285) or Chester Cobb (919- 707-8283). Firm name** Septage Management Firm permit number (NCS #)** Street address of office** County** Mailing address same as street address of office?** Mailing Address** Phone**Fax Email** Firm owner's name** Mailing address same as street address of office?** Mailing Address** Firm Info COMER SANITARY SERVICES INC The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00145 Enter the five digits following the NCS # City LEXINGTON State / Province / Region NC Postal / Zip Code 27295 Country UNITED STATES Street Address 1176 CALDCLEUGH RD Address Line 2 Davidson Yes No City LEXINGTON State / Province / Region NC Postal / Zip Code 27293 Country UNITED STATES Street Address PO BOX 1083 Address Line 2 336-249-6920 33-249-0235 INFO@COMERSANITARY.COM Owner Info TILLIE COMER Yes No 336-249-0235 Phone**Fax Firm operator's name**Firm operator's title Mailing address same as street address of office?** Phone**Fax Amount in gallons* DomesticDomestic Portable Toilet WastePortable Toilet Waste Grease (Restaurant)Grease (Restaurant) Treatment PlantTreatment Plant Industrial/CommercialIndustrial/Commercial List each county you plan to do business in:** Do you plan to operate pumper vehicles?** "I certify, under penalty of law, that the pumper vehicle or vehicles listed in the submitted permit application meets the requirements for safe and sanitary transportation of septage as required by 15A NCAC 13B .0844(a) and vehicle lettering as required by 15A NCAC .0844(b). Furthermore, 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 significant penalties for false certification including the possibility of fine and imprisonment." Signature Date** City LEXINGTON State / Province / Region NC Postal / Zip Code 27295 Country UNITED STATES Street Address 2855 YADKIN COLLEGE RD Address Line 2 336-7875238 Operator Info TOMMY COMER PRES/T Yes No 336-249-6920 336-249-0235 Type and amount of septage pumped in the last 12 months 185,258 0 0 0 0 North Carolina counties of operation DAVIDSON Vehicle Info Yes No 8/14/2019 Only pumps portable toilet waste. crc Title** Choose how to add vehicle descriptions** Pumper Vehicles Usage*License Tag #*Vehicle Identification #*Tank Capacity* Approved wastewater treatment plant** If yes, list the facilities below and upload or submit by mail a copy of Wastewater Treatment Authorization for each plant as indicated in subparagraph .0833(c)(14) of the Septage Management Rules. Mail forms to: NC DEQ Division of Waste Management - Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 Wasterwater Treatment Facility Name*Expiration Date*Authorization Septage Land Application Sites (SLAS)** Septage Detention or Treatment Facility (SDTF)** Other disposal method** Date**Hours** Location** Training Sponsored or Provided by** PRES/T Add vehicles individually Upload List Domestic Septage YA0131215 1HTSCAN95H684389 1,000 Domestic Septage YA014304 1HTSDPPN9RH543050 1,000 Domestic Septage YA013117 1HTDLDUXN3JH552432 1,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No LEXINGTON REGIONAL WWTP 12/31/2019 APPROVED.jpg 890.14… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 3/3/2018 4 Morganton NC Pumper Group & NC Portable Toilet Group Septage Land Application Site Operator Training Completed Only pumps portable toilet waste. crc Date Hours Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** 0 Registration Type Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes 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. 8/13/2019 10:14:13 AM TILLIE COMER VP � AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environmental QualityDivision of Waste Management -Solid Waste Section 1646 Mail Service Center, Raleigh, NC 27699-1646 Fee assessments and waste determinations will be required at the discretion of the wastewater treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to theincoming wastewater stream. :;i._� \}.} <L <::.-+ � �-L:_�� fO"-L, N �(Address) .9.·'=1-J.... q 'l-0 3 �) 1, 5 :+ -� �9 do hereby authorize _ ___.!T_,1'-' u.11 !-i e,_=----'C,a=::;:_11,u...; __ rv/'-'--___ _(Owner/Operator of Septage Management Firm) (Phone Number) of NCS # Ci){)\4S- to dispose of: domestic septage ___ __, portable toilet waste __ ..,.\Le,__ _ _, grease septage (grease trap pumpings) ____ commercial/industrial septage ___ __, from 1� v,d SO'\,L CouJ\A__A---L � (Count�eog�� -at the above named wastewater treatment facility. Septage shall be discharged at: 5 oo G-f R rv..d.o, f)_L :R,.o..o. d (Location) between the hours of G�OO 0.M-L g� oO rw. M of\,\.,(jo,(S -F� Reintroducing partially treated liquid into a grease trap is acceptable __ Yes --lL.._No This authorization shall be valid until / ;:)... / '?> \ I :J.,O I 'f -----..L..�_;:�....!,__,;, __ :__ _____ _ (Usually December 31, Year) ' 11, . IJ ' f Signed M.12--fu_ �Date f 0{ / 2.,.,� (� (Facility Operator) Subscrib d and affirmed before me this ---41 .... @;=--m ______ day of My Commission expires: · JamfeFreemanNotary PublicDavidson Gou NC Qet_.2o_B_ D-1 I� /;).{)� r . (OFFICIAL SEAL) Note: Falsification of this document by the septa e mana S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Appllcat·1on/gWWTP A tghe�ent firm shall lead to permit revocation.u onzatlon Form 2018 PAID FIRM NAME: Comer Sanitary Service Inc PERMIT #: NCS-00145 AMOUNT: $800 PAID BY: Credit card DATE: 08/14/2019 PAID (late) FIRM NAME: Comer Sanitary Service Inc PERMIT #: NCS-00145 AMOUNT: $400 PAID BY: Credit card DATE: 08/14/2019 Chester Cobb