NCS01280_Permit2019_Initial

2019
Permit and Registration
Johnson's Septic Service
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01280
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation &
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.Neuse River Resource Recovery Facility
2.Central Johnston County 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
APPLICATION FOR PERMIT TO OPERA TE A SEPT AGE 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)).To �"'-$o\'\1.S �e,p-t;c. SanJ\c.e
Street address of office: l?.'1'$Z «s 70 '3,,,�;r,ess f.l...,v kl
City: Cf4,f:h,� State: N.C. Zip: 1..7$).o
Mailing address (if different): ..;5{lf'N <)S abov <-,City: ____________ State: ___ Zip: _______ _
Phone: ___________ Fax: ____________ _
E-Mail: _________________________ _County: ----......--,....---Septage Management Firm permit number: NCS # 0 / 2 f 0
(2.) Firm ownels name: j<i' lb� -:Jobn;s,or--...Mailing address (if different): ___________________ _
City: ____________ State: ___ Zip: _______ _ Phone: Fax:
(3.) Firm op-er-at-or'_s _n -am_e_: ==g=:=; /=60====::2o:::b .... _�115c,:::if\._====-F-irm-o -pe-ra-to-r's-t-itl-e:����---_-_-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
(5.) N.C. Counties of Operation-Johr✓cl\.. 'v/a t�
(List each county you are authorized to do business In)
(6.) Total Number of Pumper Vehicles Operated:--=-'-----Number used for: Domestic Septage: l Grease (restaurant): ___ _
2 3 4 5
Other:_______ Portable Toilet Waste: __ _ Vehicle Information: (use additional paper if needed)
APPLICATION CONTINUED ON PAGE 2
PAGE1
Industrial/Commercial
919 550 2023 JB 9/13/2019