HomeMy WebLinkAboutNCS00825_2020Permit_Initial 2020
Permit and Registration
Parks Portable Toilets Inc
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00825
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. Hominy Creek Water Reclamation Facility, Wilson NC
2. Cross Creek WRF, Fayetteville NC
3. Central Johnston County Regional WWTP, Smithfield NC 4. Septage Detention or Treatment Facilities, SDTF-96-02 & SDTF-98-08 5. Septage Land Application Site, SLAS-96-09
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?**
Mailing Address**
Phone**Fax
Email**
Firm owner's name**
Mailing address same as street address of office?**
Mailing Address**
Firm Info
Parks Portable Toilets, Inc
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00825
Enter the five digits following the NCS #
City
Goldsboro
State / Province / Region
NC
Postal / Zip Code
27530
Country
United States
Street Address
179 Combs Rd
Address Line 2
Wayne
Yes No
City
Goldsboro
State / Province / Region
NC
Postal / Zip Code
27533
Country
United States
Street Address
P.O. Box 1611
Address Line 2
919-735-9402 919-735-9450
info@parksportable.com
Owner Info
Bonnie P. Howell
Yes No
Phone**Fax
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
Mailing address**
Phone**Fax
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).
City
Goldsboro
State / Province / Region
NC
Postal / Zip Code
27530
Country
United States
Street Address
226 Combs Rd
Address Line 2
919-583-5052
Operator Info
Bonnie P. Howell President
Yes No
City
Goldsboro
State / Province / Region
NC
Postal / Zip Code
27530
Country
United States
Street Address
226 Combs Rd
Address Line 2
919-583-5052
Type and amount of septage pumped in the last 12 months
0
230,000
0
0
0
North Carolina counties of operation
Carteret, Craven, Duplin, Edgecomb, Harnett, Greene, Jones, Johnston, Nash,
Sampson, Wake, Wayne, Wilson, Onslow, Pitt, Cumberland, Moore
Vehicle Info
Yes No
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 **
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
12/12/2019
President
Add vehicles
individually
Upload List
Portable Toilet Waste HH5456 3C7WRMBL8HG535344 900
Portable Toilet Waste EW2664 3C7WRMDL4FG545010 700
Portable Toilet Waste YA142771 1FUY3WDB7WL955922 3,500
Portable Toilet Waste AP8291 3C7WRMDL9JG122500 700
Portable Toilet Waste JM8371 3C7WRMBLXKG538186 900
Portable Toilet Waste FD8581 3C7WRMBL6GG100403 900
Portable Toilet Waste JM8287 3C7WRMBL3JG383298 625
Portable Toilet Waste EN7149 1FDUF5GTXEEA43697 900
Portable Toilet Waste FB7398 1FDUF5GT7FEC38495 900
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Cross Creek WRF 12/31/2020 Cross
Creek.pdf
328.92…
Septage Land Application Sites (SLAS)**
If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each
site.
SLAS #*Expiration Date*Authorization
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
City of Wilson Hominey Creek WRF 12/31/2020 City of
Wilson.pdf
300.95…
Central Johnston WWTP 12/31/2020 Central
Johnston.pdf
344.93…
Daniel L. Newsome 12/31/2020 Daniel
Newsome.pdf
230.11…
Yes No
SLAS-96-09 6/14/2021 Permit SLAS
96-09 Expires
6-14-2021.pdf
354.03…
Yes No
SDTF-96-02 6/14/2021 Permit SDTF
96-02 Expires
6-14-2021.pdf
398.51…
Yes No
Septage Management Firm Operator Training Completed
1/12/2019 4
Raleigh, NC
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
1/12/2019 3
Raleigh, NC
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Print Name**Title**
NC Pumper Group & NC Portable Toilet Group
Registration Type
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.
12/5/2019
10:54:24 AM
Bonnie P. Howell President
PayPoint
Payment Receipt
Application: Solid Waste Credit
Merchant: NDENR-Solid Waste Credit
Merchant City/State: Raleigh, North Carolina
Merchant Location Code: 00001
Payment Status: Settled
Result Message: Payment completed and settled successfully.
Confirmation Number: 19121257738850
Payment Date: 12/12/2019
Posting Date: 12/12/2019
Billing Information: Parks Portable Toilets, Inc 179 Combs Rd Goldsboro, NC 27530 9197359402 info@parksportable.com
Payment Amount: 800.00 USD
Card Type: VISA
Method: Not Present
Page 1 of 1
Reference Information: NCS-00825-2020,27533,Parks Portable Toilets Inc,PO Box 1611,Goldsboro,NC,NCS-00825,$800.00
Disclaimer: A convenience fee is charged by a third-party provider for all online payments made by a credit or debit card. DEQ does not receive any portion of these fees associated with this service. The fee is currently 2.65% of the amount paid on all credit and debit card transactions, except for VISA debit, which has a flat fee of $3.95 per transaction. Your card will not be charged until alter you have accepted the convenience fee amount. If you choose not to pay the fee, you may cancel the transaction and pay by another method. If you accept the convenience fee and elect to continue, your credit card statement will show two charges -one for the amount due to DEQ, and one for the convenience fee. The convenience fee is not refundable.
https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 12/16/2019