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HomeMy WebLinkAboutNCS00785_2020Permit_Initial 2020 Permit and Registration Advanced Portable Toilets is hereby issued a Septage Management Firm Permit, Permit Number NCS-00785 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. Greenville Utilities WWTP, Greenville NC 2. Neuse River Resource Recovery Facility, Raleigh NC 3. Tar River Regional WWTP, Rocky Mount NC 4. City of Wilson, Wilson 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 Advanced Portable Toets The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-785 Enter the five digits following the NCS # City rocky mount State / Province / Region North Carolina Postal / Zip Code 27804 Country United States Street Address 1530 n. Wesleyan blvd Address Line 2 Nash Yes No 2524433670 2524423193 BRIANJRENTS@GMAIL.COM Owner Info Brian James Yes No 252443-3670 2524423193 Operator Info Brian James President Yes No 2524433670 252442319 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* Type and amount of septage pumped in the last 12 months 2,700 161,600 0 0 0 North Carolina counties of operation Nash, Edgecombe, Halifax, Wilson, Wake, Franklin Vehicle Info Yes No 12/30/2019 President Add vehicles individually Upload List Portable Toilet Waste je7004 3hammmm3jl581236 900 Portable Toilet Waste hj8787 jale5j160h7901371 300 Portable Toilet Waste dx8298 1htmmaal17h396846 1,500 Portable Toilet Waste jk8416 1htmmmml9kh757293 900 Portable Toilet Waste jb2626 3c7wrlel8hg548116 600 Portable Toilet Waste jk8745 1fduf5ht4kda09447 600 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 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 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Hominy Creek Water Reclamation Facility 12/31/2020 Scan_0128.pdf 324.44… Neuse River Resource Recovery Facility 12/31/2020 Scan_0129.pdf 343.42… Greenville Utilities WWTP 12/31/2020 Scan_0130.pdf 327.85… Rocky Mount WWTP 12/31/2020 Scan_0131.pdf 347.88… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 1/12/2019 4 State Fair Grounds in Raleigh NC Pumper Group & NC Portable Toilet Group Septage Land Application Site Operator Training Completed 0 Registration Type Select one** Comments or notes Signature Date Print Name**Title** 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. 12/30/2019 09:32:45 AM Brian James 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: 19123060872341 Payment Date: 12/30/2019 Posting Date: 12/30/2019 Billing Information: Advanced Portable Toets 1530 n. Wesleyan blvd rocky mount, NC 27804 2529083888 brianjrents@gmail.com Payment Amount: 800.00 USD Account Type: Checking Reference Information: ncs-00785-2020,27804,Advanced Portable Toilets,1530 N Wesleyan Blvd,Rocky Mount,NC,NCS-00785,$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 12/31/2019