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Home My WebLink AboutNCS01062_2020Permit_Initial 2020 Permit and Registration Hall Septic Tank Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-01062 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-85-07 2. City of Eden WWTP, Eden 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?** Phone**Fax Firm operator's name**Firm operator's title Mailing address same as street address of office?** Phone**Fax Firm Info Hall Septic Tank Service The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01062 Enter the five digits following the NCS # City Sandy Ridge State / Province / Region NC Postal / Zip Code 27046 Country USA Street Address 1715 Steele Rd Address Line 2 Stokes Yes No 336-871-3948 ahallgrading@yahoo.com Owner Info Alan K. Hall Yes No 336-871-3948 Operator Info Alan K. Hall owner/operator Yes No 336-871-3948 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* 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 Type and amount of septage pumped in the last 12 months 88,750 11,000 0 0 0 North Carolina counties of operation Stokes, Rockingham, Forsyth, Guilford, Caswell Vehicle Info Yes No 12/9/2019 owner/operator Add vehicles individually Upload List Domestic Septage YA117621 1FV6HLAA25L684907 2,000 Portable Toilet Waste YA117621 1FV6HLAA25L684907 2,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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. 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** City of Eden WWTP 12/31/2020 wwtp2020.pdf 652.59… Yes No Yes No SDTF-85-07 6/14/2019 sdtf2021.pdf 739.75… Yes No Septage Management Firm Operator Training Completed 1/24/2019 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 Comments or notes Signature Date Print Name**Title** 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. 12/9/2019 12:25:44 AM Alan K. Hall owner/operator t'" * .- Fadity F'€mit l,lo: $DTF-85{7 Hdl $eflic TankSerrlce PemlthOFate Atryrsf 15, S1$ FqE 1d3 ROY COOPERCov*x MICHAEIS. RE6AN S€ffffary MCHAELSC01T DiJeclE.r f.IORTHCAROLINA en*rowruwl Quallty STATE OF NOR1TI CAROLINA DEFARTMENT OT ENYIRONMEN?AL QUALITY DffISION OF WASTE I',IANAGEMENT SOLID WASTE SECTIOI{ PERMIT TO OPERATE A SEPTAGE DETENTION AND TREATMENT FACILITY Hall $eptic Tank Service Alan K. Hall 1715 $teele Road Sand Ridge, NC 27046 is hereby permittrad to ryerale Septage tlstention ard Treffinent Facllity with permit # SDTF{5{T located on S;R*1742 in Stokes Co.mtyatapproximate position 36.477M' N latitude and -80.1#04" E longitude. Thh si& is pormitted only for operalions that arc conducted in acmrdance with ihe rcpresenhtbns made in tre approved apdicaton, with all eonditione attached b ftis permit, and ryilh all of the pro?isiorls of t'A NCAC 138.0800 - Septage Managoment. Failure b operate as permitted may esult h tre Deprfrnant suspendng or reroking $io permit, irulialing ac{ion ta enjoin the unperirri&d opaation, imposing dminhfoative penaEies, or invoking any other rcmedy a* paklad in Chapter 1 SOA, Article 1 , Pad. 2 sf the Nofii Carulina Gene*al Statrtes. This faciti$ is st&ject to periodic inspec*bn, as deemed nmssary by the Divisbn of Vllasb irtanagmneil, to determine if the hcility is in mm$ianee witr this permh. This permit is srrbled to roderr at least annudly, or more ofren ildeemed necesmry by &e Diviskr of Waste Menagpment b debrmine if the opraliom permitted are consister* with the SepEge Management Rules in effe{t atfte firne of the revkw. Modificaflona to the rcnditims of thi* permit may be made where neces$ary & make this permit conform to the Esquirements of rulas in effestatthetirre of *eievieru- O 'r Adam Ulishnev ffi,'**o'o*"' DatE:zoraG,t5 l3€$t5{}fto Adam Uli$hn€y Environmentai Compliance Braach Head Division of Was*e tvlrragemeat NC Dqartmenc of Eavironmmtal Audiry Ncrth Serdina D€pxrment of E rvlroilrrfltrl Qralify Diris*r. ct Wastr MraagsffiI llF Wbrtloil*i $rr!?r l&4n M# gercicc Cqntctr I ldeqh, lt o{thfsrdin I*,ce-l6d& 9t9"?O?mO r f\)jj AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environment and Natural Resources Division of Waste Management - Solid Waste Section 401 Oberlin Rd., Ste. 150, Raleigh, N.C. 27605 Fee assessments and waste determinations will be required at the discretion of the wastewater treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming wastewater stream. l, Melinda Ward -- Citv of Eden Wastewater Treatment Plant Suoerintendent (Plant Operator and Name of Plant). 294. Mebane BridoE Road : E"den" NC 27288 (Address) 336-627-1009 ext. 130 do hereby authorize Alan Hall (Phone Number)(OwnerlOperator of Septage Management Firm) (Septage Management Firm Name and NCS number) to dispose of; domestic septage X , portable toilet waste grease septage (grease trap pumpings) N/A commercial/induskialseptage N/A , from Rockinoham Countv and surroundino counties (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Mebane Bridoe Wastewater Treatment Plant - 204 Mebane Bridqe Road Eden, NC 27288 (Location) between the hours of 7:00 a.m. - 4:00 p.m. Monday - Friday -- Septaqe will be accepted after hours bv apot. only After hours & emergencies call: 336.627.1009 ext. 4 Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until December 31 Signed Date ll - ) */1 (Facilit[Operator) Sworn to and subscribed before me this day of Novcvn \aeaz , 20 $ Note: Falsification of thls document by the septage management firm shall lead to permit revocation. PAID FIRM NAME: Hall Septic Tank Service PERMIT #: NCS-01062 AMOUNT: $550 PAID BY: paper check DATE: 12/19/2019 Chester Cobb