The URL can be used to link to this page

Home My WebLink AboutNCS00986_2020Permit_Initial 2020 Permit and Registration Forever Clean is hereby issued a Septage Management Firm Permit, Permit Number NCS-00986 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. Neuse River Resource Recovery Facility, Raleigh NC 2. North Durham WRF, Durham NC 3. South Durham WRF, Chapel Hill NC 4. North Harnett Regional WWTP, Lillington NC 5. Central Johnston County Regional WWTP, Smithfield 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?** Mailing Address** Phone**Fax Email** Firm owner's name** Mailing address same as street address of office?** Mailing Address** Firm Info Forever Clean Portable Toilets Inc The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00986 Enter the five digits following the NCS # City Fuquay Varina State / Province / Region NC Postal / Zip Code 27526 Country United States Street Address 116 W Academy St Address Line 2 Wake Yes No City Fuquay Varina State / Province / Region NC Postal / Zip Code 27526 Country WAKE Street Address 122 Josh Dr Address Line 2 9195520200 scott@foreverclean.com Owner Info Scott Tart 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 Fuquay Varina State / Province / Region NC Postal / Zip Code 27526 Country Wake Street Address 116 W Academy Street Address Line 2 9196696006 Operator Info Scott Tart President Yes No City Fuquay Varina State / Province / Region NC Postal / Zip Code 27526 Country Wake Street Address 116 W academy Street Address Line 2 9196696006 Type and amount of septage pumped in the last 12 months 0 3,434,869 0 0 0 North Carolina counties of operation Wake Harnett Johnston and Durham 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 12/17/2019 President Add vehicles individually Upload List Portable Toilet Waste FF-2518 1FDUF5GT2GEA 600 Portable Toilet Waste FB-8996 5PVNJ8JV6F4S59623 1,100 Portable Toilet Waste JP-1368 3C7WRMBL3JG42735 900 Portable Toilet Waste HT-2535 5PVN68JTXJ4S58174 1,550 Portable Toilet Waste FB-8959 3C7WRMBL5FG610272 800 Portable Toilet Waste EY-9563 1FDUF5GTXCED00399 1,100 Portable Toilet Waste HV-7451 3C7WRMDL2HG728098 900 Portable Toilet Waste JE-5867 3C7WRMBLXJG255723 900 Portable Toilet Waste CH-2856 JALE5B12877301282 1,000 Portable Toilet Waste HN-6474 3C7WRMDL7HG680890 900 Portable Toilet Waste HW-2071 1FDUF5GT6DEA41797 1,100 Portable Toilet Waste HY-28900 3C7WRMDL9HG674914 1,100 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Septage Land Application Sites (SLAS)** 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 CITY OF RALEIGH (NRRRF)12/31/2020 city of raleigh.pdf 652.04… CENTRAL JOHNSTON 12/31/2020 johnston.pdf 645.22… NHRWWTP 12/31/2020 harnett.pdf 700.91… Durham 12/31/2020 Durham.pdf 558.23… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 12/7/2019 0 RALEIGH NC NC Pumper Group & NC Portable Toilet Group 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. Date Print Name**Title** 12/17/2019 03:00:00 PM SCOTT TART PRESIDENT PayPoint Payment Receipt Application: Solid Waste Merchant: NDENR-Solid Waste Merchant City/State: Raleigh, North Carolina Payment Status: Settled Result Message: Payment completed and settled successfully. Confirmation Number: 19121758782155 Payment Date: 12/17/2019 Posting Date: 12/17/2019 Billing Information: Forever Clean Portable Toilets Inc 115 W Academy St Fuquay Varina, NC 27525 9195520200 scott@foreverclea n. com Payment Amount: 800.00 USD Account Type: Checking Reference Information: NCS-00985-2020,27525,Forever Clean Portable Toilets Inc.,115 West Academy Street,Fuquay Varina,NC,NCS-00985,$800.00 Page 1 of 1 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 12/18/2019