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Home My WebLink AboutNCS01090_2020Permit_Initial 2020 Permit and Registration A & B Portable Toilets, Inc. is hereby issued a Septage Management Firm Permit, Permit Number NCS-01090 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. T Z Osborne WRF, Mcleansville NC 2. Carolina Compost Inc., SWCD-29-10 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&B Portable Toilets, Inc. The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01090 Enter the five digits following the NCS # City Greensboro State / Province / Region NC Postal / Zip Code 27406 Country USA Street Address 2544 Alamance Church Rd Address Line 2 Guilford Yes No 336-669-7338 336-697-2909 ayoung@abportabletoilets.com Owner Info William D Young Yes No 336-669-7338 336-697-2909 Operator Info William D Young President Yes No 336-669-7338 336-697-2909 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 825,750 779,253 483,115 0 0 North Carolina counties of operation Guilford, Alamance, Forsyth, Randolph, Rockingham, Chatham, Moore, Orange, Durham, Lee, Wake Vehicle Info Yes No 11/15/2019 President 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.pdf 72.62KB 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)** 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 Select one** TZ Osborne 12/31/2020 2019111410133…423.02… Carolina Compost 12/31/2020 Carolina Compost.pdf 248.33… Yes No Yes No SDTF-34-02 12/31/2020 Yes No Septage Management Firm Operator Training Completed 2/1/2019 6 Hickory Convention Center 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 Comments or 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. 11/14/2019 10:00:02 AM William D Young President A&B Portable Toilet Inc. Year Tag Expire Fresh Water Gallons Waste VIN USAGE 2007 Freightliner MZ HS-7279 300 1000 1FVACWDCH7HY75671 Portable Toilet 2002 Freightliner Classic YA-107141 120 3500 1FUJAHCG62LK25882 Septic/ Grease 2000 Freightliner FL80 YA-133402 0 2500 1FU6J6BA5YNF92192 Septic/ Grease 2005 GMC 5500 FD-2444 200 300 1GDE5C1255F518226 NA * 2016 Ford F550 HL-2653 300 900 1FDUF5GT8GEC07547 Portable Toilet 2007 International 4300 EH-6625 400 1000 1HTMMAAL37H447912 Portable Toilet 2015 International 4300 FD-2443 400 1000 3HAMMMML6FL70905 Portable Toilet 2008 Isuzu NQR HV-3446 350 800 JALE5W161979002Y9 Portable Toilet 2016 Chevrolet 3500 HP- 6196 150 300 1GB3CYC82GF126635 Portable Toilet * 2016 Ford F550 JB4557 200 900 1FDUF5GT9GED30404 Portable Toilet 2018 Ford F550 70615C 350 1000 1FDUF5GTOJEC21059 Portable Toilet 2000 FordF650 HV3094 250 500 3FENF6541YMA00401 Portable Toilet * 2019 International HV507 YA153121 100 4000 3HAEGTAT7KL332448 Septic/ Grease 2019 Chevrolet Silverado JP-5259 250 350 1HTKHPVK6KH840702 Portable Toilet 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: 19111553064654 Payment Date: 11/15/2019 Posting Date: 11/15/2019 Billing Information: A&B Portable Toilets, Inc. 2544 Alamance Church Road Greensboro, NC 27406 3366697338 a bporta bletoi lets@triad. rr .com Payment Amount: 800.00 USD Account Type: Checking Page 1 of 1 Reference Information: NCS-01090-2020,27406,A & B Portable Toilets, Inc.,2544 Alamance Church Rd,Greensboro,NC,NCS-01090,$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 11/18/2019