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Home My WebLink AboutNCS00128_2020Permit_Initial2020 Permit and Registration Elvis Service Co., Inc is hereby issued a Septage Management Firm Permit, Permit Number NCS-00128 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.Septage Detention or Treatment Facility SDTF-78-22 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 Elvis Service Co. Inc. The "Firm name" must be exactly as it is shown on your vehicle(s). 00128 Enter the five digits following the NCS # City Myrtle Beach State / Province / Region SC Postal / Zip Code 29577 Country United States Street Address 2200 Executive Ave. Address Line 2 Out-of-State Yes No 843-448-5016 843-626-7002 info@elvisservicecompany.com Owner Info Phillip Leroy Elvis Yes No 843-448-5016 843-626-7002 Operator Info Phillip Elvis owner Yes No 843-448-5016 843-626-7002 Amount in gallons * DomesticDomestic Portable Toilet WastePortable Toilet Waste Grease (Restaurant)Grease (Restaurant) Treatment PlantTreatment Plant Industrial/CommercialIndustrial/Commercial 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 ** 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. Type and amount of septage pumped in the last 12 months 15,500 50,500 46,500 0 0 North Carolina counties of operation Brunswick and New Hanover Vehicle Info Yes No 12/22/2019 Owner 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. Pumper Vehicles Elvis Service Company.pdf 25.57KB Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Yes No---------------- SLAS #*Expiration Date*Authorization Septage Detention or Treatment Facility (SDTF)** 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 SLAS-78-22 12/31/2019 Yes No Yes No Septage Management Firm Operator Training Completed 9/11/2019 4 Shallotte, 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. 12/22/2019 07:59:46 PM ------ SDTF-78-22 JRB 2/11/2020 X Print Name**Title** Phillip Elvis owner Pumper Vehicles Elvis Service Company Usage License Tag Vehicle Identification Tank Capacity Domestic Septage P797239 1htshpcryph505722 3500 Domestic Septage P426201 1htsdaan6y11299281 2500 Domestic Septage PT72836 1t9ae15b0lf0d3031 7000 Grease (restaurant) P101296 1htsaan5th313700 3500 Grease (restaurant) P741739 1htwahtx6j341371 5000 Portable toilet waste P101302 1fdaf57p27eb50784 750 Portable toilet waste P101303 1htmmaal92h548946 1150 Portable toilet waste P291814 1htmmaal625h534891 1150 Portable toilet waste P530024 1htmmaal96h196408 1250 Portable toilet waste P361527 1htmmaal66h345583 1150 Grease (restaurant) P744183 5kkmaebgxgphj1312 5500 Portable toilet waste P504949 3hammmml8fl709056 1150 Grease (restaurant) P753957 5kkhaxdvtjlp7132 4000 Grease (restaurant) P747584 1htmmmmnxhh475660 2700 Domestic septage P752356 5kkhaxdv2hpjc0670 3500 Portable toilet waste P659509 3c7wrmcl8hg753864 750 Portable toilet waste P661006 1htmmmml4jh344907 1150 Portable toilet waste P531397 1gde5c1988f400480 700 Portable toilet waste P596845 1fduf5gt0cec34039 700 Portable toilet waste P665719 1fduf5gt7fea14322 700 Portable toilet waste P560291 3c7wrmbl8gg193876 700 Portable toilet waste P657149 1fdwf7dc0kdf00687 800 Portable toilet waste P665700 jhhudm1h1kk003690 200 Domestic septage P679878 5kkhaxfm7lph8180 3500 PayPoint Payment Receipt Application: Solid Waste Credit Merchant: NDENR-Solid Waste Credit Merchant City/State: Raleigh, North Carolina Merchant Location Code: 00001 Payment Status: Success Result Message: Success Confirmation Number: 19122760519480 Payment Date: 12/27/2019 Posting Date: 12/27/2019 Billing Information: Matthew E Haselden 2200 Executive Ave Myrtle Beach, SC 29577 8434485016 lnfo@elvisservicecompany.com Payment Amount: 800.00 USD Card Type: MC Method: Not Present Page 1 of 1 Reference Information: NCS-00128-2020,29577,Elvis Service Co., Inc,2200 Executive Ave,Myrtle Beach,SC,NCS-00128,$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 after 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/epa yadmin/paymentreceipt.aspx 12/27/2019