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Home My WebLink AboutNCS01133_2020Permit_Initial2020 Permit and Registration Environmental Pumping & Drain Line Solutions is hereby issued a Septage Management Firm Permit, Permit Number NCS-01133 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. Septage Detention or Treatment Facility, SDTF-36-15 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 Environmental Pumping & Drain Line Solutions The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01133 Enter the five digits following the NCS # City Gastonia State / Province / Region NC Postal / Zip Code 28056 Country USA Street Address 4528 S New Hope Rd Address Line 2 Gaston Yes No City Belmont State / Province / Region NC Postal / Zip Code 28012 Country USA Street Address P.O. Box 1310 Address Line 2 704-395-6066 704-825-1901 ebofcharlotte@bellsouth.net Owner Info Frank & Pam Davis 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). City Gastonia State / Province / Region NC Postal / Zip Code 28012 Country USA Street Address PO Box 1310 Address Line 2 704-634-2519 Operator Info Frank Davis Owner Yes No City Belmont State / Province / Region NC Postal / Zip Code 28012 Country USA Street Address PO Box 1310 Address Line 2 704-634-2518 Type and amount of septage pumped in the last 12 months 50,000 0 250,000 0 100,000 North Carolina counties of operation Mecklenburg, Gaston, Union, Lincoln, Cabarrus, Catawba, Caldwell, Iredell, Rowan, Stanly, Burke, McDowell, Alexander, and Cleveland Vehicle Info Yes No 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 ** 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** 12/29/2019 Owner Add vehicles individually Upload List Grease (restaurant)HN-8132 3HAZZAALXFL647301 2,000 Grease (restaurant)HN-9531 1HTMMMMLOJH344256 2,000 Other EX4633 1FVACWDC97HY08785 2,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Yes No Yes No SDTF-36-15 3/20/2022 EarthFarmLtr.…409.35… Yes No Septage Management Firm Operator Training Completed 1/24/2019 4 Hickory, NC NC Septic Tank Association Date Hours Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** 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. 12/29/2019 07:13:38 PM Frank Davis Owner PayPoint Payment Receipt Application: Solid Waste Merchant: NDENR-Solid Waste Merchant City/State: Raleigh, North Carolina Payment Status: Success Result Message: Success Confirmation Number: 19122960773748 Payment Date: 12/29/2019 Posting Date: 12/29/2019 Billing Information: Environmental Pumping & Drain Line Solutions P.O. Box 1310 BELMONT, NC 28012 7043956066 ebofcharlotte@bellsouth.net Payment Amount: 800.00 USO Account Type: Checking Page 1 of 1 Reference Information: NCS-01133-2020,28012,Environmental Pumping & Drain Line Solutions,PO Box 1310,Belmont,NC,NCS-01133,$800.00 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 12/30/2019