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Home My WebLink AboutNCS00016_2020Permit_Initial 2020 Permit and Registration A Sani-Can is hereby issued a Septage Management Firm Permit, Permit Number NCS-00016 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. Clark Creek WWTP, Newton NC 2. McAlpine Creek WWTP, Charlotte NC 3. Rocky River Regional WWTP, Concord NC 4. Septage Detention or Treatment Facility, SDTF-55-20 5. Septage Land Application Site, SLAS-18-01 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 A Sani-Can The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00016 Enter the five digits following the NCS # City Denver State / Province / Region NC Postal / Zip Code 28037 Country USA Street Address 8151 Webbs Road Address Line 2 Lincoln Yes No 7044835641 7044838481 neeley@asanican.com Owner Info Gary & Virginia Dellinger Yes No 7044835641 7044838481 Operator Info Gary Dellinger Secertary Yes No 7044835641 7044838481 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** Upload vehicle 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: Type and amount of septage pumped in the last 12 months 338,480 640,386 258,629 0 0 North Carolina counties of operation Lincoln, Catawba, Iredell, Cleveland, Union, Stanley,Gaston, Cabarrus, Burke, Wilkes, Mecklenburg Vehicle Info Yes No 11/18/2019 Treasurer Add vehicles individually Upload List You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag #, Vehicle Identification #, and Tank Capacity. Truck List for Permits.xls 80.5KB Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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 Location Training Sponsored or Provided by City of Newton 12/31/2019 Charlotte Water 12/31/2020 Charlotte Water.pdf 231.21… Rocky River Regional Wastewater 12/31/2020 Rocky River.pdf 313.91… Yes No SLAS-18-01 1/16/2021 Yes No SDTF-55-20 12/16/2020 Yes No Septage Management Firm Operator Training Completed 9/17/2019 8 Mooresville, NC NC Septic Tank Association Septage Land Application Site Operator Training Completed 1/25/2019 6 Hickory, NC Select one** Comments or notes Signature Date Print Name**Title** NC Septic Tank Association Registration Type Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes On the attached truck list please go by the tab State 2020. That would be the most updated list. I will mail the Catawba County authorization to discharge as soon as I get it. 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. 11/18/2019 08:24:34 AM Neeley Robinson Treasurer TRUCKS A SANI-CAN SERVICE TRUCK #YEAR MAKE/MODEL VIN#TAG#TANK CAPACITY **4 1987 Ford 2T 1FDPT74AOHVA08997 YA002987 2000 Gallons **30 1996 UD JNAMA20HSTGF55253 EA2670 250 Gallons542000UD 2000N JNAMB33H6YGN55460 BJ8493 250 Gallons 61 2000 UD 2000F JNAMB33H8YAF55577 BJ8181 250 Gallons 70 2003 Freightliner 1FVACWCS3BHL73776 BJ8179 1000 Gallons 71 2003 Freightliner 1FVACWCSX33HL73777 BJ8180 1000 Gallons 79 2004 Freightliner 1FVACWCS24HN17341 DM4802 1000 Gallons 81 2004 Freightliner 1FVACWCS64HN17343 DM4801 1000 Gallons 200 2005 UD 2000 JNAMB80H05AK0276 AW3240 250 Gallons 201 2006 UD 2300 JNALC80H46AK55152 AW3238 250 Gallons 204 2006 Freightliner 1FVACWCS66HW99452 BJ7179 1000 Gallons 208 2007 UD 2000 JNAMB80H67AN60421 CC4186 250 Gallons 209 2007 UD 23LP JNALC80H67AN60122 CC4185 250 Gallons2102008Kenworth2NKMHM8X48M228831CH65011000 Gallons 211 2008 Kenworth 2NKMLN9X98M231031 MB2410 4500 Gallons 216 2014 Hino 338 5PVNV8JJ2E4S50093 EL1154 1000 Gallons 217 2014 Hino 338 5PVNV8JJ4E4S50094 EL1153 1000 Gallons 218 2015 Kenworth T880 1NKZXPEX3FJ432181 MM3279 5500 Gallons 220 2013 Hino 338 5PVNV8JT1D4S53082 YA126025 300 Gallons 221 2016 Hino 338 5PVNV8JT0G4S54115 YA118132 300 Gallons 222 2016 Hino 338 5PVNV8JJ3G4S50283 YA118131 1000 Gallons 223 2016 Hino 338 5PVNV8JT4G4S54179 FR8039 1000 Gallons 224 2016 Hino 338 5PVNV8JT9G4S54310 HL4441 1000 Gallons 225 2017 Hino 338 5PVNV8JV9H4S57369 YA139780 300 Gallons 226 2017 Hino 338 5PVNV8JVXH4S57378 YA139781 300 Gallons 228 2018 Hino 338 5PVNV8JL2J4S50428 JB7104 1200 Gallons 229 2018 Hino 338 5PVNV8JT4K4S55003 JB7105 1200 Gallons 230 2018 Hino 338 5PVNV8JL9J4S50474 JF8965 1200 Gallons 231 2019 Hino 338 5PVNV8JV8K5S58312 JL1708 1200 Gallons 232 2020 Hino 338 5PVNV8JV1L4S59707 300 Gallons**32 1998 International 1HTSCAAL1WH497550 BJ8490 1000 Gallons ** Minimal Usage(Spare) yard truck Have not received yet PayPoint Payment Receipt Application: Solid Waste Credit Merchant: NDENR-Solid Waste Credit Merchant Citv/State: Raleigh, North Carolina Merchant Location Code: 00001 Pavment Status: Settled Result Message: Payment completed and settled successfully. Confirmation Number: 19111853525471 Payment Date: 11/18/2019 Posting Date: 11/18/2019 Billing Information: A Sani-Can Service 8151 Webbs Raod Denver, NC 28037 7044835641 neeley@asanican.com Payment Amount: 800.00 USD Card Type: VISA Method: Not Present Page 1 of 1 Reference Information: NCS-00016-2020,28037,A Sani-Can Service Inc,8151 Webbs Rd,Denver,NC,NCS-00016,$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 11/19/2019