HomeMy WebLinkAboutNCS01401_2020Permit_Initial 2020
Permit and Registration
Anderson Pumping Service
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01401
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. Lauradale WWTP, Scientific Water & Sewerage Corporation: Jacksonville 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?**
Mailing Address**
Phone**Fax
Firm Info
Anderson Pumping Service Inc
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01401
Enter the five digits following the NCS #
City
Jacksonville
State / Province / Region
North Carolina
Postal / Zip Code
28540
Country
United States
Street Address
1716 Catherine Lake Rd
Address Line 2
Onslow
Yes No
9103247655
andersonpumping1990@gmail.com
Owner Info
Joshua Rochelle
Yes No
City
Jacksonville
State / Province / Region
North Carolina
Postal / Zip Code
28540
Country
United States
Street Address
237 Sewell Rd
Address Line 2
9106502863
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
there significant penalties for false certification including the possibility of fine and imprisonment."
Signature
Date**
Title**
Operator Info
Joshua Rochelle Owner
Yes No
City
Jacksonville
State / Province / Region
North Carolina
Postal / Zip Code
28540
Country
United States
Street Address
237 Sewell Rd
Address Line 2
9106502863
Type and amount of septage pumped in the last 12 months
785,000
0
0
0
0
North Carolina counties of operation
Onslow,Duplin,Jones
Vehicle Info
Yes No
12/30/2019
Owner/operator
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
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
Owner/operator
Add vehicles
individually
Upload List
Domestic Septage YA93387 FDYW82E6SVA31313 3,600
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Scientific Water 12/31/2020
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
9/24/2019 4
Carteret Community College
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
0
Select one**
Comments or notes
Signature
Date
Print Name**Title**
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.
12/30/2019
12:37:37 AM
Joshua Rochelle Owner
�O r O DtSCH/l P GE SEll A 10 A IJilfiST[\flf/jTC:ft H c1n /[�I\: rt OU r
North Carolina Departm ht of Environmental Quality Division of Waste Manas ment _ Solid waste Section
.l6'1G MJil 5crvice Ccn r, RJICl(lh, NC 27699-1646
. . h d' crction of the wastewaterfoe assessments .ind .•1.:1stc dctcrmin.:1t1ons will be required :.it t e is f t to the . d disch.:irges o .:iny was es trc:itmcnt facility. The facility hJs the ultimate prcro3otIvc to cny
incoming wastcwntc-1 stIct1n1.
1, _____ -_j=-··-. gff �,-_vv,pr-1 tJhllJC /.3-1-V-L-f,,__/_1 --. -l one lin:n',C r· t;nt {:[ r ': ... o,' ,.r,' (Plant Operator in rtcspon:.ihlc Cli"r (OrtC , '
(Address)
do hereby authorize JC)�� }!.o.cLllt---{-f'f-1o_n_e_l_u_m_b_e_r) __ . (O· 0r/Opcr.itor of Sq.Jt,:[;c t1:m:ig,:ment Firm)
to dispose of: domc�tic scp' .:cc-)9 _,
gr��1se -�µ-.1,;.� Lw�1s� tmp pumpincs) ____ commcn:ia!/ind• 1strial scptage _____ from
(Count'/ or other ,Gcogr::iphic l\rea) at i'hc ;:ibovc nJm,:c..:l -,•1ast0w:_rt�r tr;1:_rtmcnt hcility. cpt::ige sh:.ill be disch;:irged at:
(Loe ·on) between the hours of ------------r--------------------
Tl1i::> �wihori/. . .1tion sh.ill be 1101id until �. 'h� \ ,�\:1.-�� -�..c;;?C)_;.,,,:.o.�::(D::::::.._ __ _ (Usually December 31, Year)
5igned �----ll�::�-=�::::::::::::_-:-------Oate
/ {fJdlh Operator)
IJ' f� o , --�QM�'------day of J..Ctt..w....YJ.g ,.. • 20 _j_C)__
Lauradale WWTP See accompanying DWR Document JRB 1/6/2019
North Carolina Department of Environmental Quality
Division of Water Resources
Jacksonville, NC 28540
End Of Aragona Blvd
Lauradale WWTP
Discharging 100% Domestic < 1MGD
NC0036226
Permit Type:
Facility Name:
Facility Address1:
Facility Address2:
City, State & Zip:
Permit Number:
*** Legally Responsible for Permit ***
Jacksonville, NC 28540
Owner Information Details:
Organization
Scientific Water & Sewerage Corporation
Non-Government
baaragona@gmail.com
910-455-3743
112 Scientific Lane
Ben Aragona President
910-455-6081
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
MUST submit a Change of Name/Ownership form to DWR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership" Form)
Fax:
Title:
Owner Type Group:
Owner Name:
Owner Type:
Owner Affiliation:
Address1:
Address2:
Work Phone:
Email Address:
City, State & Zip:
EmailFaxAddressPhoneContact Name Title
Owner Contact Person(s)
EmailFaxPhoneAddressTitleContact Name
Facility Contact Person(s)
baaragona@gmail.com910-455-6081910-455-3743112 Scientific Lane, Jacksonville, NC
28540
Ben Aragona Back-up ORC
moonwalk3@gmail.com910-330-8167Jeffrey A Jarman ORC
EmailFaxPhoneAddressTitleContact Name
Permit Contact Person(s)
EmailFaxPhoneAddressTitleContact Name
Permit Billing Contact Person(s)
baaragona@gmail.com910-455-6081910-455-3743112 Scientific Lane, Jacksonville, NC
28540
Ben Aragona
EmailFaxPhoneAddressTitleContact NameType
Persons with Signatory Authority
moonwalk3@gmail.com910-455-3743112 Scientific Ln, Jacksonville,
NC 28546
PermitPermit Jeffrey A Jarman
Page 11/6/2020
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: 19123060914860
Payment Date: 12/30/2019
Posting Date: 12/30/2019
Billing Information: Anderson Pumping Service
1716 Catherine Lake Rd Jacksonville, NC 28540 9103247655 andersonpumping1990@gmail.com
Payment Amount: 550.00 USD
Account Type: Checking
Page 1 of 1
Reference Information: NCS-01401-2020,28540,Anderson Pumping Service,1716 Catherine Lake Rd,Jacksonville,NC,NCS-
01401,$550.00
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 12/31/2019
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?**
Mailing Address**
Phone**Fax
Firm Info
Anderson Pumping Service Inc
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01401
Enter the five digits following the NCS #
City
Jacksonville
State / Province / Region
North Carolina
Postal / Zip Code
28540
Country
United States
Street Address
1716 Catherine Lake Rd
Address Line 2
Onslow
Yes No
9103247655
andersonpumping1990@gmail.com
Owner Info
Joshua Rochelle
Yes No
City
Jacksonville
State / Province / Region
North Carolina
Postal / Zip Code
28540
Country
United States
Street Address
237 Sewell Road
Address Line 2
9106502863
2019 Permit Application
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 Toilet Waste
Grease (Restaurant)Grease (Restaurant)
Treatment PlantTreatment Plant
Industrial/CommercialIndustrial/Commercial
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**
Operator Info
Joshua Rochelle Owner
Yes No
City
Jacksonville
State / Province / Region
North Carolina
Postal / Zip Code
28540
Country
United States
Street Address
237 Sewell Road
Address Line 2
9106502863
Type and amount of septage pumped in the last 12 months
900,000
0
0
0
0
North Carolina counties of operation
Onslow Duplin Jones
Vehicle Info
Yes No
11/27/2019
Owner
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
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
Owner
Add vehicles
individually
Upload List
Domestic Septage YA93387 FDYW82E6SVA31313 3,600
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Scientific Water 12/31/2019
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
3/27/2018 4
Onslow County Government Complex
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
0
Select one**
Comments or notes
Signature
Date
Print Name**Title**
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.
11/27/2019
11:27:26 AM
Joshua Rochelle 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: 19121758756357
Payment Date: 12/17/2019
Posting Date: 12/17/2019
Billing Information: Anderson Pumping Service Inc 1716 Catherine Lake Rd. Jacksonville, NC 28540 9103247655 andersonpumping1990@gmail.com
Payment Amount: 550.00 USD
Page 1 of 1
Reference Information: NCS-01401-2019,28540,Anderson Pumping Service,1716 Catherine Lake Rd,Jacksonville,NC,NCS-01401,$550.00
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 ://ad.min. thepayplace.com/ epayadmin/paymentreceipt.aspx 12/17/2019
Paid $550.00
12/18/2019
JRB 2/21/2020
PayPoint
Payment Receipt
Application: Solid Waste
Merchant: NDENR-Solid Waste
Merchant City/State: Raleigh, North Carolina
Payment Status: Success
Result Message: Success
Confirmation Number: 19121758757152
Payment Date: 12/17/2019
Posting Date: 12/17/2019
Billing Information: Anderson Pumping Service Inc 1716 Catherine Lake Rd Jacksonville, NC 28540 9103247655 andersonpumping1990@gmail.com
Payment Amount: 275.00 USO
Page 1 of 1
Reference Information: NCS-01401-2019LF,28540,Anderson Pumping Service,1716 Catherine Lake Rd,Jacksonville,NC,NCS-01401,$275.00
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 12/17/2019
Paid $275.0012/18/2019JRB 2/21/2020