NCS01517_2020Permit_Initial

2020
Permit and Registration

Redbox+ (Greensboro)
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01517
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation 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. City of High Point – Eastside WWTP, Jamestown 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

~e_u) Ofvre-..,}o r
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT-SOLID WASTE SECTION-1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The "Firm name" must be exactly as it is shown on your vehicle(s).
redbox+ of the Triad
Str t dd f ffi 806 Green Valley Rd, Suite 200
C·tee Gr;e;~~bor~: -------s-----=N,....,.c=----__,,...27-4....,0 .... 8..---------
1 y: . tate: Zip: 3242 india Wilkes P .... ,,...........-----------
Mailing address (if different): ---------,-,.=----------=-------
Charlotte NC 28270 City: ____________ State: _______ Zip : _______ _
Ph 336-338-8773 one: ___________ Fax: ____________ _
E-Mail: [e-mail]
Guildford . . /'JJ~l'Y County: ---.......... -.--......... --.----Septage Management Firm permit number: NCS # ....!Lh,,,ll r
Pete Marsden (2.) Firm owner's name:. ______________________ _
Mailing address (if different): ___________________ _
City: State: Zip: -7....,Q .... 4r-_....,gg ..... g .... _ ...... g-77-7------------------
Phone: Fax: -------------
( 3.) Firm operator's name: ____________ Firm operator's title: ___ _
Mailing address (if different):
City: ____________ State: ___ Zip: _______ _
Phone: Fax: ____________ _
(4.) Type(s) of septage pumped: Write in the number of gallons pumped in 2015 (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease Restaurant Treatment Plant Industrial/Commercial
Guilford, Forsyth, Davidson, Randolph (5.) N.C. Counties of Operation: ___________________ _
(List each county you do business in)
. 1 (6.) Total Number of Pumper Vehicles Operated: _____ _
Number used for: Domestic Septage: ____ Grease (restaurant): ___,,1f""'·---
Other: _______ Portable Toilet Waste: ~1--__ _
Vehicle Information: (use additional paper if needed)
License Ta # Vehicle Identification # Tank Ca aci
2NKHLM7X2LM380274 98 gal
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