NCS00261_2020Permit_Initial

2020
Permit and Registration

Rogers Septic Tank Service
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00261
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. Greenville Utilities WWTP
2. Septage Detention or Treatment Facilities, SDTF-74-14 and SDTF-98-08
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
Rogers Septic Service
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00261
Enter the five digits following the NCS #
City
Greenville
State / Province / Region
nc
Postal / Zip Code
27834
Country
usa
Street Address
309 family lane
Address Line 2
Pitt
Yes No
2527585164
[e-mail]
Owner Info
Chester Rogers
Yes No
2528305396
Operator Info
Chester B. Rogers Manager
Yes No
2527147588
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
subparagraph .0833(c)(14) of the Septage Management Rules.
Type and amount of septage pumped in the last 12 months
243,000
0
60,000
0
0
North Carolina counties of operation
Pitt Greene Lenoir Wayne Edgecombe Martin Beaufort Craven
Vehicle Info
Yes No
12/31/2019
Manager
Add vehicles
individually
Upload List
Domestic Septage ya148331 1fdzy90x0vva11829 3,500
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
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**
Greenville Utilities Wastewater
Treatment Plant
12/31/2020 Greenville
utilities
2020.pdf
539.08…
Yes No
Yes No
SDTF-98-08 12/31/2020 D&D farms.pdf 439.49…
Yes No
Septage Management Firm Operator Training Completed
6/29/2019 4
New Bern
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
Registration Type
Registered Portable Sanitation Firm
Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments or notes
Signature
Date
Print Name**Title**
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.
12/31/2019
10:31:54 PM
Chester B. Rogers Manager
AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR
STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF
(This form is used by a detention or treatment facility permit holder to indicate that permission has been given to a permitted
Septage Management Firm to discharge septage into the permit holders detention or featment facility.)
Daniel L Newsome
t,
441 Buck Newsome Rd. Fremont, NC 27830
(Facility Operato$
(Operator Address)
Chester Rogers
do hereby authorize:
{Owner of Septage Management Firm)
Rogefs Septic Tank Service 00261
NCS #
(Name of Septage Management Firm)
309 Family Lane Greenville, NC 27834
(Address of Septage Management Firm)
(009s3)
98-08
to utilize septage detention or treatment facility #-' for the treatment or storage of septage *
in 2020_, The facility will be operated in accordance with the Septage Management Rules **.
1 0-25-1 I
Date:Signed
n As defined in G.S. 130A-290{a){32)** As defined in 15A NCAC 138 .0800
Return the properly completed form to:
North Carolina Department of Environment and Natural Resources
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
u
GreenvilleUtilities
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
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.
M. lason Monninq. WW-4 15270, Greenville Utilities WWTP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
240 Aquo Lane PO Box 7847 Greenville, NC 27835
of
(Address)
12521 557-7546 do hereby authorize Chester Rogers
(Phone Number)(Owner/Operator of Septage Management Firm)
Roaers Seotic Seruice NCS # RSO'
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage { , portable toilet waste_,
greasesepta8e(greasetrappumpingS)-commercial/industrialseptage,from
Pitt County ond Surrounding Areas
(County or other Geographic Area)
at the above-named wastewater treatment facility. Septage shall be discharged at:
Greenville Utilities WWTP
between the hours of
(Location)
8:30 AM-4:30 PM. Mondovthrouah Fridov
Reintroducing partially treated liquid into a grease trap is acceptable Yes r/ No
This authorization shall be valid until December 31, 2020
(Usually December 31, Year)PO Box 1847
Greenvilte, NC
27835-t847 signed
z5z 752-7t66
www.guc.com
Your LocaL
Aduantage
Date
Note: Falsification of this document bythe septage management firm shal! lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018
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: 20010161255370
Payment Date: 01/01/2020
Posting Date: 01/01/2020
Billing Information: Rogers Septic Service 309 Family Lane Greenville, NC 27834 2527585164 [e-mail]
Payment Amount: 800.00 USO
Page 1 of 1
Account Type: Checking
Reference Information: ncs-00261-2020,27834,Rogers Septic Tank Service,309 Family Lane,Greenvllle,NC,NCS-00261,$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 1/2/2020