HomeMy WebLinkAboutNCS01357_2020Permit_Initial2020
Permit and Registration
Pearce Environmental
Technologies
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01357
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.Neuse River Resource Recovery Facility2.Louisburg WRF3.Septage Detention or Treatment Facility, SDTF 98-08
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
Pearce Environmental Technologies
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01357
Enter the five digits following the NCS #
City
Rolesville
State / Province / Region
NC
Postal / Zip Code
27571
Country
USA
Street Address
698 Dogwood Meadow Trail
Address Line 2
PO Box 58
Wake
Yes No
City
Rolesville
State / Province / Region
NC
Postal / Zip Code
27571
Country
USA
Street Address
PO Box 58
Address Line 2
9199714599
jerry@PearceEnvironmental.com
Owner Info
Jerry Pearce
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
Rolesville
State / Province / Region
NC
Postal / Zip Code
27571
Country
USA
Street Address
PO Box 58
Address Line 2
9199714599
Operator Info
Jerry Pearce President
Yes No
City
Rolesville
State / Province / Region
NC
Postal / Zip Code
27571
Country
USA
Street Address
PO Box 58
Address Line 2
919-9714599
Type and amount of septage pumped in the last 12 months
86,290
0
19,650
0
0
North Carolina counties of operation
Wake, Franklin, Durham, Granville, Vance, Warren, Nash, Chatham, Harnett
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)**
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.
12/13/2019
President
Add vehicles
individually
Upload List
Domestic Septage PT81428 1L9112218WC163354 3,600
Grease (restaurant)PT81428 1L9112218WC163354 3,600
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Neuse River Resource Recovery
Facility
12/31/2020 WWTP Raleigh
2020.pdf
173.8KB
Louisburg WRP 12/31/2020 WWTP
Louisburg
2020.pdf
202.41…
Yes No
Yes No
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**
Comments or notes
Signature
Date
Print Name**Title**
SDTF-98-08 12/31/2020 SDTF D&D
2020.pdf
156.69…
Yes No
Septage Management Firm Operator Training Completed
1/24/2019 4
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.
12/13/2019
08:20:38 PM
Jerry Pearce President
PayPoint
Payment Receipt
Application: Solid Waste
Merchant: NDENR-Solid Waste
Merchant City/State: Raleigh, North Carolina
Payment Status: Success
Result Message: Success
Confirmation Number: 19121358146501
Payment Date: 12/13/2019
Posting Date: 12/13/2019
BIiling Information: Pearce Environmental Technologies PO Box 58 Rolesville, NC 27571 9199714599 jerry@PearceEnvironmental.com
Payment Amount: 550.00 USO
Page 1 of 1
Account Type: Checking
Reference Information: ncs-01357-2020,27571,Pearce Environmental Technologies,PO Box 58,Rolesville,NC,NCS-01357,$550.00
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 12/16/2019