HomeMy WebLinkAboutNCS00137_2020Permit_Initial 2020
Permit and Registration
WNC Portable Toilets and
Roll Off Container Service
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00137
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. Tukaseigee Water & Sewer, Sylva NC
2. Town of Waynesville WWTP, Waynesville NC
3. Cherokee WWTP, Cherokee 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?**
Phone**Fax
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
Phone**Fax
Firm Info
W.N.C. Portable Toilet and Roll-Off Container Service
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00137
Enter the five digits following the NCS #
City
Sylva
State / Province / Region
NC
Postal / Zip Code
28779
Country
USA
Street Address
1800 Skyland Drive
Address Line 2
Jackson
Yes No
828-586-5550
greenebros@gmail.com
Owner Info
B.T. Greene Jr.
Yes No
828-507-3860
Operator Info
TIM MATHIS SUPERVISOR
Yes No
828-507-1320
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*
Type and amount of septage pumped in the last 12 months
0
49,100
0
0
0
North Carolina counties of operation
Jackson, Swain, Haywood, Graham and surrounding areas
Vehicle Info
Yes No
11/26/2019
Vice-President
Add vehicles
individually
Upload List
Portable Toilet Waste en3938 3C7WRNAL5EG156014 500
Portable Toilet Waste BW6331 3D2WD76A08G210589 500
Portable Toilet Waste HW7705 3C7WRNAL8JG113412 450
Portable Toilet Waste ER3591 3C7WRNAL8HG713812 500
Portable Toilet Waste FA4458 3C7WRNAL7FG675034 450
Septage Disposal Method
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
Select one**
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
TUCKASEIGEE WATER AND SEWER 12/31/2020 201911261108.…182.53…
CHEROKEE WASTE WATER TREATMENT PLANT 12/31/2020 201911261108
(1).pdf
116.62…
TOWN OF WAYNESVILLE 12/31/2020 201911261109.…109.87…
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
10/17/2019 4
Franklin
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
0
Registration Type
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.
11/26/2019
10:41:26 AM
Audrey Greene Vice-President
PayPoint
Payment Receipt
Application: Solid Waste
Merchant: NDENR-Solid Waste
Merchant City /State: Raleigh, North Carolina
Payment Status: Settled
Result Message: Payment completed and settled successfully.
Confirmation Number: 19112654990727
Payment Date: 11/26/2019
Posting Date: 11/26/2019
Billing Information: W.N.C. Portable Toilet and Roll Off Containers 1800 Skyland Drive Sylva, NC 28779 8285865550 greenebros@gmail.com
Payment Amount: 800.00 USD
Account Type: Checking
Reference Information: ncs-00137-2020,28779,WNC Portable Toilets and Roll Off Container Service,1800 Skyland Drive,Sylva,NC,NCS-00137 ,$800.00
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https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 12/4/2019