NCS00711_2020Permit_Initial

2020
Permit and Registration

P. D. Quik
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00711
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. Mount Airy WWTP, Mount Airy 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
PayPoint
Payment Receipt
Application: Solid Waste Credit
Merchant: NDENR-Solid Waste Credit
Merchant City/State: Raleigh, North Carolina
Merchant Location Code: 00001
Payment Status: Success
Result Message: Success
Confirmation Number: 19120456298852
Payment Date: 12/04/2019
Posting Date: 12/04/2019
Billing Information: Donald R GOINS 133 Mason Rd Mount Airy, NC 27030 3367862286 [e-mail]
Payment Amount: 800.00 USD
Card Type: AMEX

Method: Not Present
Reference Information: NCS-00711-2020,27030,P D Quik,133 Mason Road,Mt Airy,NC,NCS-00711,$800.00
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