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Home My WebLink AboutNCS00916_2020Permit_Initial 2020 Permit and Registration Bailey's Septic Tank Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-00916 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. Louisburg WRF 2. Central Johnston County Regional WWTP 3. Neuse River Resource Recovery Facility 4. Septage Detention or Treatment Facilities, SDTF-92-12, 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?** Mailing Address** Phone**Fax Email** Firm owner's name** Mailing address same as street address of office?** Phone**Fax Firm Info Bailey's Septic Tank Service The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00916 Enter the five digits following the NCS # City Knightdale State / Province / Region NC Postal / Zip Code 27545 Country USA Street Address 113 Neuse Harbor Dr Address Line 2 Wake Yes No City Knightdale State / Province / Region NC Postal / Zip Code 27545 Country USA Street Address PO Box 925 Address Line 2 9192661161 baileyseptic@gmail.com Owner Info Leroy Glenn Bailey Yes No 9192661161 Firm operator's name**Firm operator's title Mailing address same as street address of office?** 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** Choose how to add vehicle descriptions** Pumper Vehicles Usage*License Tag #*Vehicle Identification #*Tank Capacity* Operator Info Glenn Bailey Manager Yes No 9198198446 Type and amount of septage pumped in the last 12 months 445,000 0 97,000 0 0 North Carolina counties of operation Wake, Nash, Johnston, Franklin, Durham Vehicle Info Yes No 12/26/2019 Owner Add vehicles individually Upload List 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)** 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** Domestic Septage CS1424 1FV3HFACXVL858054 1,500 Domestic Septage FD5453 1FVACWOC06HW60735 1,800 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Central Johnston County Regional 12/31/2020 Scan2019-12- 26_183440.pdf 1.39MB Louisburg WRF 12/31/2020 Scan2019-12- 26_183626.pdf 1.61MB Neuse River Resource Recovery Facility 12/31/2020 Scan2019-12- 26_183802.pdf 1.19MB Yes No Yes No SDTF-98-08 12/31/2020 Scan2019-12- 26_184006.pdf 888.34… SDTF-92-12 12/31/2020 Scan2019-12- 26_184127.pdf 1.02MB Yes No Septage Management Firm Operator Training Completed 12/7/2019 4 Location** Training Sponsored or Provided by** Date Hours Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** Raleigh NC NC Pumper Group & NC Portable Toilet Group 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 Septic pumping logs are not always up to date. Will try in do better in 2020. 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. 12/26/2019 06:23:25 PM Leroy Glenn Bailey owner PayPoint Payment Receipt Application: Solid Waste Credit Merchant: NDENR-Solid Waste Credit Merchant City/State: Raleigh, North Carolina Merchant Location Code: 00001 Payment Status: Success Result Message: Success Confirmation Number: 19122660388979 Payment Date: 12/26/2019 Posting Date: 12/26/2019 Billing Information: Bailey Septic Service 113 Neuse Harbor Dr Knightdale, NC 27545 9192661161 baileyseptic@gmail.com Payment Amount: 800.00 USO Card Type: AMEX Method: Not Present Page 1 of 1 Reference Information: ncs-00916-2020,27545,Bailey's Septic Tank Service,P O Box 925,Knightdale,NC,NCS-00916,$800.00 Disclaimer: A convenience fee is charged by a third-party provider for all online payments made by a credit or debit card. DEQ does not receive any portion of these fees associated with this service. The fee is currently 2.65% of the amount paid on all credit and debit card transactions, except for VISA debit, which has a flat fee of $3.95 per transaction. Your card will not be charged until after you have accepted the convenience fee amount. If you choose not to pay the fee, you may cancel the transaction and pay by another method. If you accept the convenience fee and elect to continue, your credit card statement will show two charges -one for the amount due to DEQ, and one for the convenience fee. The convenience fee is not refundable. https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 12/27/2019