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HomeMy WebLinkAboutNCS00165_2020Permit_Initial 2020 Permit and Registration Tows Septic Service & Tows Jon Boy LLC is hereby issued a Septage Management Firm Permit, Permit Number NCS-00165 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. Judson Vick WWTP, Chatsworth GA 2. Ellijay Gilmer County Water and Sewerage Authority (EGCWSA), Ellijay GA 3. Copperhill WWTP, Copperhill TN 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 Tows Septic Service & Tows Jon Boy LLC The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00165 Enter the five digits following the NCS # City Blue Ridge State / Province / Region GEORGIA Postal / Zip Code 30513 Country United States Street Address 70 Brittain Avenue,Blue Ridge Georgia. Address Line 2 Out-of-State Yes No City Blue Ridge State / Province / Region Georgia Postal / Zip Code 30513 Country United States Street Address PO Box 971 Address Line 2 706-632-8689 706-632-9765 glennreece@tds.net Owner Info Glenn Reece & Linda Estes 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). 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 City Blue Ridge State / Province / Region GEORGIA Postal / Zip Code 30513 Country United States Street Address PO Box 971 Address Line 2 706-632-8689 706-632-9765 Operator Info Glenn Reece & Linda Estes Owner// Manager Tony Daniels Yes No City Blue Ridge State / Province / Region GEORGIA Postal / Zip Code 30513 Country United States Street Address PO Box 971 Address Line 2 706-632-8689 706-632-9765 Type and amount of septage pumped in the last 12 months 30,000 5,000 10,000 0 0 North Carolina counties of operation Cherokee & Macon Vehicle Info Yes No 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 Septage Land Application Sites (SLAS)** Septage Detention or Treatment Facility (SDTF)** 11/15/2019 Owner Add vehicles individually Upload List Portable Toilet Waste JN47N3 1HTMMAL16H235203 400 Portable Toilet Waste RKI8385 1FDUFHY0HEF30051 600 Portable Toilet Waste EBF584 1FDUF5HY9KDA10251 600 Domestic Septage 1P387P 1HTSDAAN8SH228414 2,500 Domestic Septage IP388P 1HTHCAHR1XH223732 3,500 Domestic Septage 7444JP 1FDPR70U0FUA30574 900 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Submit by Mail Gilmer County WWTP 12/31/2020 Submit by Mail City of Copper Hill TN.WWTP 12/31/2020 Submit by mail Judson Vick WWTP 12/31/2020 Yes No Other disposal method** 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** Yes No Yes No Septage Management Firm Operator Training Completed 10/17/2019 4 Franklin North Carolina 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 I do not have the forms for Authorization to discharge yet.But will have next week and will be sending them by US Mail along with a Check.Also Tony Daniels is the Manager here and he is the one that went to Franklin North Carolina for the site operator Training. 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. 11/15/2019 11:47:28 AM Glenn Reece OWNER