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HomeMy WebLinkAboutNCS01312_2020Permit_Initial Non Pumpers December 19th, 2019 Greg Trollinger Camp Tekoa, Inc PO Box 1793 Flat Rock, NC 28731 Re: Permit to Operate a Septage Management Facility Firm Name NCS- 01312 Dear Mr.Trollinger: 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-45-02 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 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 Camp Tekoa, Inc 211 Thomas Rd Hendersonville NC 28739 Henderson Yes No PO Box 1792 Flat Rock NC 28731 Owner Methodist Youth Camp of WNC Conference of UMC 211 Thomas Rd Hendersonville NC 28739 8283293666 gtrollinger@camptekoa.org Operator Greg Trollinger PO Box 1793 Flat Rock NC 28731 8283293666 gtrollinger@camptekoa.org 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 SDTF-45-02 SDTF-45-02 Camp Tekoa, Inc Certification (signature of company official required) 12/2/2019 Maintenance Director gtrollinger@camptekoa.org