HomeMy WebLinkAboutNCS00817_2020Permit_Initial 2020
Permit and Registration
Mueller Septic Services
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00817
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. Mebane Bridge WWTP, Eden 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
Mueller Septic Services
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-
Enter the five digits following the NCS #
City
Walnut Cove
State / Province / Region
NC
Postal / Zip Code
27052
Country
United States
Street Address
1901 US 311 Hwy N
Address Line 2
Stokes
Yes No
336-362-5112
muellerss1@aol.com
Owner Info
Donna Mueller Chris Mueller
Yes No
336-362-5112
Operator Info
Mike Mueller
Yes No
336-362-5112
00817
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**
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
0
0
0
0
0
North Carolina counties of operation
Stokes, Guilford, Forsyth, Rockingham
Vehicle Info
Yes No
2/19/2020
Owner
Add vehicles
individually
Upload List
Domestic Septage YA125142 1FDZU90L9KVA07041 3,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
-----------New Tag # YA147870 JRB 2/24/2020
Truck inspected for compliance with septage rules
on 2/24/2020. No violations observed.
JRB 2/24/2020
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
Select one**
Comments or notes
Signature
Mebane Bridge Wastewater Treatment
Plant
12/31/2020
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
1/30/2020 4
See Jeffrey Bullard
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
See Jeffrey Bullard
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.
New Operator Training completed at Hickory NC, NCSTA Expo, on 1/30/2020
JRB 2/24/2020
----->
Date
Print Name**Title**
2/19/2020
01:28:35 AM
Donna Mueller Chris Mueller Owner
Chris Mueller added as part owner in addition to Mike and Donna Mueller
JRB 2/24/2020
Permit Fee $550.00 Paid 2/25/2020
JRB 2/25/2020
FACILITY COMPLIANCE INSPECTION REPORT
Division of Waste Management
Solid Waste Section
Page 1 of 2
UNIT TYPE:
Lined MSWLF LCID YW Transfer Compost SLAS COUNTY: Stokes
Closed MSWLF HHW White goods Incin T&P FIRM X PERMIT NO.: NCS-00817
CDLF Tire T&P / Collection Tire Monofill Industrial Landfill DEMO SDTF FILE TYPE: COMPLIANCE
Date of Truck Inspection: 2/24/2020 Date of Last Inspection: NA
FACILITY NAME AND ADDRESS:
Mueller Septic Services 1901 US 311 Hwy N Walnut Cove NC 27052
GPS COORDINATES: N: NA E: NA
FACILITY CONTACT INFORMATION:
Name: Mike Mueller Address: 1901 US 311 Hwy N Walnut Cove NC 27052
Telephone: 336-362-5112
Email address: muellerss1@aol.com
PARTICIPANTS: Mike Mueller, Chris Mueller (MSS) and Jeffrey Bullard (DWM)
STATUS OF PERMIT: Pending EXPIRES: Pending
PURPOSE OF SITE VISIT: Pre-operational
STATUS OF PAST NOTED VIOLATIONS: NA
OBSERVED VIOLATIONS:
None
The item(s) listed above were observed by Section staff and require action on behalf of the facility in order to come into or maintain compliance with the Statutes, Rules, and/or other regulatory requirements applicable to this facility. Be advised that pursuant to N.C.G.S. 130A-22, an administrative penalty of up to $15,000 per day may be assessed for each violation of the Solid Waste Laws, Regulations, Conditions of a Permit, or Order under Article 9 of Chapter 130A of the N.C. General Statutes. Further, the facility and/or all responsible parties may also be subject to enforcement actions including penalties, injunction from operation of a solid waste management facility or a solid waste collection service and any such further relief as may be necessary to achieve compliance with the North Carolina Solid Waste Management Act and Rules.
FACILITY COMPLIANCE INSPECTION REPORT Division of Waste Management Solid Waste Section
Page 2 of 2
AREAS OF CONCERN AND COMMENTS:
TRUCK LICENSE PLATE # VIN # TANK CAPACITY (gal)
YA147870 1FDZU90L9KVA07041 3000
(1) All lettering indicating: firm name, town name, phone number, and septage management firm
permit number were permanently attached to each side of the truck, were plainly visible and met height requirements.
(2) The tank was constructed of metal and appeared to be structurally sound. (3) The tank was affixed to the truck frame with bolts. (4) The septage drain valves appeared to be in working order. No septage leaks were observed. (5) All port covers and caps where in place and appeared to be in proper working order. (6) Truck logs were not required for pre-operational truck inspection.
Please contact me if you have any questions or concerns regarding this inspection report. ____________________________ Phone: (919) 707-8285
Jeffrey Bullard, Environmental Specialist II Division of Waste Management, NCDEQ Regional Representative
Sent on: 2/24/2020 Email X
Hand delivery US Mail Certified No. [ _]