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Home My WebLink AboutNCS00397_2020Permit_Initial 2020 Permit and Registration Billingsley Septic Tank Co. is hereby issued a Septage Management Firm Permit, Permit Number NCS-00397 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. Septage Land Application Site, SLAS-79-02 2. Septage Detention or Treatment Facility, SDTF-79-02 3. City of Eden 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, 2020. __________________________________________________ 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?** Phone**Fax Email** Firm owner's name** Mailing address same as street address of office?** Phone**Fax Firm operator's name**Firm operator's title Mailing address same as street address of office?** Phone**Fax Firm Info Billingsley Septic Tank Co. The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00397 Enter the five digits following the NCS # City Reidsville State / Province / Region North Carolina Postal / Zip Code 27320 Country United States Street Address 149 Penn Rd. Address Line 2 Rockingham Yes No 3363420608 3363420678 billingsleysepti@triad.twcbc.com Owner Info Wayne Billingsley Yes No 336-613-2444 Operator Info Wayne Billingsley Owner Yes No 336-613-2444 Amount in gallons * DomesticDomestic Portable Toilet WastePortable To ilet Waste Grease (Restaurant)Grease (R estaurant) Treatment PlantTreatment Plant Industrial/CommercialIndustrial/Co mmercial 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** Title** Choose how to add vehicle descriptions** Pumper Vehicles Usage*License Tag #*Vehicle Identification #*Tank Capacity* Approved wastewater treatment plant ** Type and amount of septage pumped in the last 12 months 888,200 0 53,000 0 0 North Carolina counties of operation Rockingham, Guilford, Alamance, Caswell and Stokes Vehicle Info Yes No 11/20/2019 Owner Add vehicles individually Upload List Domestic Septage YA113244 31712 2,500 Grease (restaurant)YA136965 72184 2,500 Domestic Septage YA30508 81212 3,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. 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)** If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #*Expiration Date*Authorization Septage Detention or Treatment Facility (SDTF)** If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for each site. SDTF #*Expiration Date*Authorization Other disposal method** Date**Hours** Location** Training Sponsored or Provided by** Date Hours Yes No Mebane Bridge Wastewater Treatment 11/7/2019 Treatment Facility 2020.pdf 555.2KB Yes No SLAS-7902 7/31/2024 SLAS 79- 02.pdf 614.08… Yes No SDTF-7902 4/9/2021 SDTF 7902.pdf 586.18… Yes No Septage Management Firm Operator Training Completed 10/29/2019 4 Greensboro NC NC Septic Tank Association Septage Land Application Site Operator Training Completed 10/29/2019 3 Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** Greensboro NC NC Septic Tank Association 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. 11/20/2019 09:37:04 AM Wayne Billingsley Owner