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Home My WebLink AboutNCS01000_2020Permit_Initial 2020 Permit and Registration Braxton Septic Tank Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-01000 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. Septage Detention or Treatment Facility, SDTF-25-10 2. Septage Land Application Site, SLAS-25-10 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 Braxton Septic Tank Service The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01000 Enter the five digits following the NCS # City vanceboro State / Province / Region North Carolina Postal / Zip Code 28586 Country United States Street Address 9900 US hwy 17 N Address Line 2 Craven Yes No 2522290483 braxton.brandon@gmail.com Owner Info Michael Braxton Yes No 252-244-0713 Operator Info Brandon Braxton Yes No 252-229-0483 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 ** Septage Land Application Sites (SLAS)** Type and amount of septage pumped in the last 12 months 290,700 0 19,400 0 0 North Carolina counties of operation Craven, carteret, beaufort, pamlico Vehicle Info Yes No 12/30/2019 operator Add vehicles individually Upload List Domestic Septage ya136589 1FVHCYBS09HAM6697 3,550 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Yes No If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #*Expiration Date*Authorization 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** Comments or notes SLAS-2510 2/2/2022 Yes No SDTF-2510 2/2/2022 Yes No Septage Management Firm Operator Training Completed 12/7/2019 4 Raleigh NC Pumper Group & NC Portable Toilet Group Septage Land Application Site Operator Training Completed 12/7/2019 3 Raleigh NC Pumper Group & NC Portable Toilet Group Registration Type Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes I am unsure of the expiration dates on SDTF 2510 and SLAS2510 permits. 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. Signature Date Print Name**Title** 12/29/2019 10:35:47 PM Brandon Braxton operator PayPoint Payment Receipt Application: Solid Waste Credit Merchant: NDENR-Solid Waste Credit Merchant City/State: Raleigh, North Carolina Merchant Location Code: 00001 Payment Staws: Success Result Message: Success Confirmation Number: 19123060836813 Payment Date: 12/30/2019 Posting Date: 12/30/2019 Billing Information: Braxton Septic Tank Service 9900 US hwy 17 N vanceboro, NC 28586 2522290483 Payment Amount: 550.00 USD Card Type: VISA Method: Not Present Reference Information: NCS-01000-2020,28586,Braxton Septic Tank Servlce,9900 US Hwy 17 N,Vanceboro,NC,NCS-01000,$550.00 Page 1 of 1 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 12/30/2019