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HomeMy WebLinkAboutNCS00759_2020Permit_Initial 2020 Permit and Registration Hurley Backhoe Services Inc. is hereby issued a Septage Management Firm Permit, Permit Number NCS-00759 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. Town of Troy WWTP, Troy NC 2. City Asheboro WWTP, Asheboro NC 3. Moore County Water Pollution Control Plant, Aberdeen NC 4. Town of Mount Gilead, Mount Gilead NC 5. Rocky River Regional WWTP, Concord 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 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?** Mailing Address** Phone**Fax Firm Info Hurley Backhoe Services, Inc. The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00759 Enter the five digits following the NCS # City Star State / Province / Region NC Postal / Zip Code 27356 Country US Street Address 116 Rock Hill Dr. Address Line 2 Montgomery Yes No 910-571-0698 hurleybackhoeinc@yahoo.com Owner Info Steven Hurley Yes No City Star State / Province / Region NC Postal / Zip Code 27356 Country US Street Address 184 Hurley Farm Rd. Address Line 2 910-571-2028 Firm operator's name**Firm operator's title Mailing address same as street address of office?** 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). 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* Operator Info Steven Hurley President Yes No 910-571-2028 Type and amount of septage pumped in the last 12 months 208,000 41,600 0 0 0 North Carolina counties of operation Moore, Montgomery, Randolph, Cabarrus Vehicle Info Yes No 12/30/2019 President Add vehicles individually Upload 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: 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** Portable Toilet Waste JL9295 JALB4B14817004623 650 Domestic Septage AS3887 2FZHAJBC5YAG47965 1,400 Portable Toilet Waste JL9294 1GBE5C1947F425299 950 Portable Toilet Waste JP6533 54DC4W1B0K5810929 950 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Moore County WWTP 12/31/2020 2020 Moore dump form.tiff 58.78KB Town of Troy WWTP 12/31/2020 2020 Troy dump form.tiff 62.17KB Town of Mount Gilead WWTP 12/31/2020 2020 MG dump form.tiff 64.57KB Rocky River Regional WWTP 12/31/2020 2020 Cabarrus dump form.tiff 56.43KB City of Asheboro WWTP 12/31/2020 2020 Randolph dump form.tiff 57.85KB Yes No Yes No Yes No Septage Management Firm Operator Training Completed Date**Hours** Location** Training Sponsored or Provided by** Date Hours Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** 1/15/2019 6 Hickory, NC NC Septic Tank Association Septage Land Application Site Operator Training Completed 0 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. 12/30/2019 03:49:03 AM Steven Hurley President PayPoint Payment Receipt Application: Solid Waste Merchant: NDENR-Solid Waste Merchant City/State: Raleigh, North Carolina Payment Status: Settled R.esult Message: Payment completed and settled successfully. Confirmation Number: 19123060953990 Payment Date: 12/30/2019 Posting Date: 12/30/2019 BIiiing Information: Hurley Backhoe Services inc. 116 Rock Hill Drive Star, NC 27356 9105710698 hurleybackhoeinc@yahoo.com Payment Amount: 800.00 USD Page 1 of 1 Account Type: Checking Reference Information: NCS-00759-2020,27356,Hurley Backhoe Services Inc,184 Hurley Farm Road,Star,NC,NCS-00759,$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 12/31/2019