NCS01236_2020Permit_Initial

12/2/2019
John Maxwell Harbortowne Marina PO Box 6122
Charlotte NC 28207
Re: Permit to Operate a Septage Management Facility Harbortowne Marina, NCS-01236
Dear Mr. Maxwell:
The Division of Waste Management, Solid Waste Section, has received your “Application for a
Permit to Operate a Septage Management Facility” and payment in the amount of $200.00.
You are hereby issued a 2020 Permit to Operate a Septage Management Facility for the
following facilities:
Septage Detention or Treatment Facility, SDTF-36-13
This permit is valid from January 1, 2020 until December 31, 2020. If you have any questions or
need to make any changes to this permit, please feel free to contact Mr. Chester Cobb at 919-707-8283 or Mr. Jeffrey Bullard at 919-707-8285.
Sincerely,
Adam Ulishney Environmental Compliance Branch Head
Solid Waste Section
cc: Inspector Gaston County Health Department
State of North Carolina
Environmental Quality
Waste Management
Non-Pumper Application for a Permit
to Operate a Septage Management
Facility
NON-PUMPER - $200 FEE PER FACILITY
Facility Name:**
Street address:**
Street address - City:**
Street address - State:**
Street address - Zip:**
Street address - County:**
Mailing address same as Street
address:**
Mailing address:**
Mailing address - City:**
Mailing address - State:**
Mailing address - Zip:**
Facility Owner's Name:**
Mailing address:**
Mailing address - City:**
Mailing address - State:**
Mailing address - Zip:**
Phone:**
Email:**
Facility Operator's Name:**
Mailing address:**
Mailing address - City:**
Mailing address - State:**
Mailing address - Zip:**
Phone:**
Email:
Facility
Harbortowne Marina
220 Commodore Ct.
Belmont
NC
28012
Gaston
Yes No
P.O. Box 6122
Charlotte
NC
28207
Owner
Harbortowne Marina Company
P.O. Box 6122
Charlotte
NC
28207
704-957-0509
[e-mail]
Operator
Harbortowne Marina
P.O. Box 6122
Charlotte
NC
28207
704-957-0509
[e-mail]
Type(s) of septage managed:**
Facility Types:
Provide the permit numbers for all that are applicable.
a. Septage Land Application Site
b. Boat Pump-Out Storage
c. Septage Storage Tanks
d. Septage Treatment
e. Grease Treatment
Septage Management firms using facility:
Provide name and permit number of all permitted septage management firms using facility.
Permit Number Firm Name
11
22
33
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.
Signature:
Date:
Title:
Email:**
Septage
(check all that apply)
Domestic Portable Toilet Waste Grease (restaurant)
Treatment Plant Industrial/Commercial
NCS-01236
Certification
(signature of company official required)
10/18/2019
Prfesident
[e-mail]