HomeMy WebLinkAboutNCS00531_2020Permit_Initial 2020
Permit and Registration
Ward Bros., LLC
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-00531
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. T Z Osborne WRF, Mcleansville NC
2. City of High Point Eastside WWTP, Jamestown NC
3. Archie Elledge WWTF, Winston-Salem NC
4. Septage Detention or Treatment Facility, SDTF-34-02
5. City Asheboro WWTP, Asheboro 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
Ward Bros., LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00531
Enter the five digits following the NCS #
City
Pleasant Garden
State / Province / Region
NC
Postal / Zip Code
27313
Country
United States
Street Address
2757 Wayne White Rd.
Address Line 2
Randolph
Yes No
3366746060 3366742274
office@wardbrosllc.com
Owner Info
Nathan & Nicholas Ward
Yes No
3366746060 3366742274
Operator Info
Nathan Ward Owner/Partner
Yes No
3362159299 3366742274
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
634,000
0
4,000
0
58,000
North Carolina counties of operation
Guilford, Randolph, Davidson, Forsyth, Alamance, Rockingham
Vehicle Info
Yes No
12/30/2019
Owner / Partner
Add vehicles
individually
Upload List
Domestic Septage YA009550 1XPFDE9X9MN304639 3,000
Domestic Septage YA145441 1FVHC5DL16HW73101 3,000
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**
T Z Osborne Water Reclamation
Facility
12/31/2020 2020 WWTP
Authorization
To Discharge
TZ
Osborne.pdf
306.96…
City of High Point Eastside WWTP 12/31/2020 2020 WWTP
Authorization
To Discharge
High Point
Eastside.pdf
288.51…
City of Asheboro Wastewater Treatment
Plant
12/31/2020 2020
Authorization
To Discharge
Asheboro.pdf
293.33…
Archie Elledge Wastewater Facility 12/31/2020 2020 WWTP
Authorization
To Discharge
Archie
Elledge W-
S.pdf
297.04…
Yes No
Yes No
SDTF-34-02 12/31/2020 2020
Authorization
to Discharge
Enviro
Relief.pdf
219.03…
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**
Yes No
Septage Management Firm Operator Training Completed
1/24/2019 4
NCSTA Mtg. 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
Our mailing & physical address have changed to:
2757 Wayne White Rd., Pleasant Garden, NC 27313
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.
12/23/2019
03:00:00 PM
Nathan Ward Owner / Partner
PayPoint
Payment Receipt
Application: Solid Waste
Merchant: NDENR-Solid Waste
Merchant City/State: Raleigh, North Carolina
Payment Status: Success
Result Message: Success
Confirmation Number: 19122359912073
Payment Date: 12/23/2019
Posting Date: 12/23/2019
Billing Information: Ward Bros., LLC 2757 Wayne White Rd. Pleasant Garden, NC 27313 3366746060 office@wardbrosllc.com
Payment Amount: 800.00 USD
Page 1 of 1
Account Type: Checking
Reference Information: NCS-00531-2020,27406,Ward Bros., LLC,5308 Randleman Road,Greensboro,NC,NCS-00531,$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 12/23/2019