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Home My WebLink AboutNCS00891 _2020Permit_Initial 2020 Permit and Registration BSS – Benfield Sanitation Services is hereby issued a Septage Management Firm Permit, Permit Number NCS-00891 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. Clark Creek WWTP Newton, NC 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?** Mailing Address** Phone**Fax Firm Info BSS BENFIELD SANITATION SERVICES The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00891 Enter the five digits following the NCS # City STATESVILLE State / Province / Region NC Postal / Zip Code 28625 Country USA Street Address 282 SCOTTS CREEK ROAD Address Line 2 Iredell Yes No 7048722668 7048729751 MARIE@BSSTRASH.COM Owner Info JEFF BENFIELD Yes No City STATESVILLE State / Province / Region NC Postal / Zip Code 28625 Country USA Street Address 312 SCOTTS CREEK ROAD Address Line 2 7049021195 7048729751 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 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* Operator Info JEFF MCMAHAN OPERATIONS MANAGER Yes No 7048722668 7048729751 Type and amount of septage pumped in the last 12 months 0 247,200 0 0 0 North Carolina counties of operation IREDELL,CATAWBA,DAVIE,ROWAN,ALEXANDER,MECKLENBURG,LINCOLN Vehicle Info Yes No 10/24/2019 OFFICE MANAGER Add vehicles individually Upload List 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** Date Hours Location Training Sponsored or Provided by Portable Toilet Waste JC8441 1HTMMAAL94H611904 1,100 Portable Toilet Waste JC8437 2NKMHY6X96M134822 1,100 Portable Toilet Waste JC8435 5PVNV8JL6J4S50433 1,500 Portable Toilet Waste JR8429 5PVNV8JV2L4S59604 1,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No CITY OF NEWTON,CLARK CREEK WWTP 12/31/2019 Yes No Yes No Yes No Septage Management Firm Operator Training Completed 1/24/2019 4 HICKORY NC NC Septic Tank Association Septage Land Application Site Operator Training Completed 0 Registration Type Select one** Comments or notes Signature Date Print Name**Title** 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. 10/24/2019 09:35:29 AM MARIE RECTOR OFFICE MANAGER PayPoint Payment Receipt Application: Solid Waste Credit Merchant: NDENR-Solid Waste Credit Merchant City/State: Raleigh, North Carolina Merchant Location Code: 00001 Payment Status: Settled Result Message: Payment completed and settled successfully. Confirmation Number: 19102449308526 Payment Date: 10/24/2019 Posting Date: 10/24/2019 Billing Information: BENFIELD SANITATION SERVI BENFIELD 282 SCOTTS CREEK ROAD STATESVILLE, NC 28625 7048722668 MARIE@BSSTRASH.COM Payment Amount: 800.00 USO Card Type: VISA Method: Not Present Page 1 of 1 Reference Information: NCS-00891-2020,28625,BSS Benfield Sanitation Services,282 Scotts Creek Road,Statesville,NC,NCS-00891,$800.00 Disclaimer: A convenience fee is charged by a third-party provider for all online payments made by a credit or debit card. DEQ does not receive any portion of these fees associated with this service. The fee is currently 2.65% of the amount paid on all credit and debit card transactions, except for VISA debit, which has a flat fee of $3.95 per transaction. Your card will not be charged until after you have accepted the convenience fee amount. If you choose not to pay the fee, you may cancel the transaction and pay by another method. If you accept the convenience fee and elect to continue, your credit card statement will show two charges -one for the amount due to DEQ, and one for the convenience fee. The convenience fee is not refundable. https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 10/25/2019