NCS00276_2020Permit_Initial

2020
Permit and Registration

WRB Rentals, Inc.
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00276
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 Murfreesboro WWTP
2. Town of Woodland 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?**
Firm Info
WRB RENTALS
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00276
Enter the five digits following the NCS #
City
MURFREESBORO
State / Province / Region
North Carolina
Postal / Zip Code
27855
Country
United States
Street Address
PO BOX 607
Address Line 2
PO BOX 607
Northampton
Yes No
2523983028 2523983088
[e-mail]
Owner Info
wayne brown
Yes No
2523983028 2523983088
Operator Info
kevin brown manager
Yes No
Phone**Fax
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 **
2523983028 2523983088
Type and amount of septage pumped in the last 12 months
75,000
0
0
0
0
North Carolina counties of operation
hertford and northampton
Vehicle Info
Yes No
10/8/2019
president
Add vehicles
individually
Upload List
Domestic Septage bn4000 1gdm7hic2x5506322 1,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes 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)**
Septage Detention or Treatment Facility (SDTF)**
Other disposal method**
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
town of murfreesboro 12/31/2020 SEPTIC
MURFREESBORO.…
266.39…
town of woodland 12/31/2020 SEPTIC
WOODLAND.pdf
322.79…
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
5/13/2019 4
nags head nc
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
0
Registration Type
Registered Portable Sanitation Firm
Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments and Notes
Signature
Date
Print Name**Title**
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.
10/8/2019
12:07:56 PM
Wayne R. Brown president
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division 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 the
incoming wastewater stream.
(Address)
do hereby authorize YfcLarW . R &Qj.'ru
(Phone Number) (Owner/Opëkor of Septage Management Firm)
R4c of p
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage -, portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage , from
e-Por
(County ohther Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
(Location)
between the hours of rj LOD rn ?jQQ f2 P.
Reintroducing partially treated liquid into a grease trap is acceptable Yes No
This authorization shall be valid until 'DfC,7) bk'( '3I / cO czC
(Usually December 31, Year)
Signed_______________________________________ Date 1 0 1
/ (FacilitIOperator)
Subscribed and affirmed before me this day of ____ r-4 JV44~', _________________________________ My Commission expires:
(N tary Public)
(OFFICIAL SEAL_
Nnta! Fakifiratinn of thic rinrumnt hu thp conta mnpmpnt firm chII td to nprmit rpvnetinn
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division 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 the
incoming wastewater stream.
I,
M
. E. Lcco p, Wood ía ,,d
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
P_ P. CQ~_( a 9 17 /dfiic/15/C a7i7
(Address)
do hereby authorize \J a. . rUJ.YYL.
(Phone Number) (Owner/Operator of Septage Management Firm)
of . i ) l)E yi4c2iE) N CS # (5 ooi L
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage , portable toilet waste
grease septage (grease trap pumpings) __________ commercial/industrial septage ,from
YTTt OU - I 1 V I -VT ; fli 1(J UY1 L'L&I.
(Cbunty or other Geographic Aiea)
at the above named wastewater treatment facility. Septage shall be discharged at:
)'4 amfCV1 r /rcJ/Qc(1 /Y7c prq
(Location)
between the hours of r-j - c5 co
Reintroducing partially treated liquid into a grease trap is acceptable Yes
This authorization shall be valid until Mece VYI be ,' I I ao<~,,()
(Usually December 31, Year)
Signed________________________
(Facility Operator)
'rn
Subscribed and affirmed before me this
D,42~,-C'J'i ,3 M y Commission expires:
(Notary Public)

e Mc6%,
TA

(OFFICIAL L)
A,
2o

08,2411 .. iD TO N
Nnte Fdcifiritinn of thic drniimnt by tha cpnthpa mnement firm chlI Ied tn nermit rpvnrtinn.
Date
day of ,20