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HomeMy WebLinkAboutNCS01184_2020Permit_Initial 2020 Permit and Registration All American Septic is hereby issued a Septage Management Firm Permit, Permit Number NCS-01184 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. Neuse River Resource Recovery Facility, Raleigh NC 2. Septage Detention or Treatment Facility, SDTF-92-11 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 All American Septic The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01184 Enter the five digits following the NCS # City Wendell State / Province / Region North Carolina Postal / Zip Code 27591 Country USA Street Address 5508 Watkins Rd Address Line 2 Wake Yes No 919-398-1045 919-752-6171 all_americanseptic@yahoo.com Owner Info Jason Rodriguez Yes No 919-398-1045 919-752-6171 Operator Info Jason Rodriguez Owner/Operator Yes No 919-398-1045 919-752-6171 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 ** Type and amount of septage pumped in the last 12 months 800,000 0 100,000 0 0 North Carolina counties of operation Wake, Johnston, Franklin, Durham, Orange, Granville, Nash, Harnett, Lee, Chatham, Vance, Wilson Vehicle Info Yes No 11/13/2019 Owner/Operator Add vehicles individually Upload List Domestic Septage YA150009 2NKHHJ7X3KM302035 1,500 Grease (restaurant)YA134219 2NKHHJ7X0HM151096 1,500 Domestic Septage YA117729 1M1AA12Y4PW025372 2,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or 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 Yes No Neuse River WWTP (NRRRF)12/31/2020 Neuse River Authorization to Discharge 20191113.pdf 290.33… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 10/29/2019 4 Greensboro NC NC Septic Tank Association Septage Land Application Site Operator Training Completed 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. 11/13/2019 12:09:44 AM Jason Rodriguez Owner 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: 19111352631866 Payment Date: 11/13/2019 Posting Date: 11/13/2019 Billing Information: All American Septic LLC 5508 Watkins Rd Wendell, NC 27591 9193981045 all_americanseptic@yahoo.com Payment Amount: 800.00 USD Page 1 of 1 Account Type: Checking Reference Information: NCS-01184-2020,27591,AII American Septic,5508 Watkins Rd,Wendell,NC,NCS-01184,$800.00 Disclaimer: No convenience fee is charged for using the eCheck payment method. However, a processing fee of $25.00 or 10% of the amount of the eCheck, whichever is greater, will be charged for an eCheck returned due to insufficient funds. Payments are null and void if payment is made with an eCheck that Is returned unpaid by the bank. https:/ / admin. thepayplace.com/ epayadmin/paymentreceipt.aspx 11/14/2019