NCS01332_2020Permit_Initial

2020
Permit and Registration

Brown Plumbing and Septic, LLC
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01332
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation &
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. Hampton Roads Sanitation District, Virginia Beach, VA
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

APPLICATloN FOR PERMIT T0 OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION 0F WASTE MANAGEMENT -SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(\ .) F.irm r`arne.. (The "Firm rrame" miJst be §z!g4!][ as it ls sho"m on your vehicle(s).
Brown Plumbing and Septic, LLC
Street address of office: 808 Land of Promise Road
City:
(2.)
Chesapeake state: VA
Mailing address (if different).
State:
phone: [phone] Fax:
E-Mail:[e-mail]
Firm owner's name: Bruce Hines
Septage Managemenmrm pemt number: NCS # PJ£3L2-2(
Mailing address (if different):
phone:[phone]
@.) Firm operators name:Brcue Hines
Mailing address (if different) :
Firm operators title:
State:
Phone:Fax:
(4.) Type(s) Of septage pumped: W7te in the nqmber of txawchs punned in 2075 (Example: Domestic: 50,000).
a.) N.C. Counties of Operation:
gist cach county you do buslness in)
(6.) Total Number Of Pumper Vehicles
Number used for: Domestic Sept,
Other
Grease (restaurant) :
Potable Toilet Waste :
Vehicle Information: (use additional peper if needed)
License Taq #Vehicle ldentifroatien #Tank Capacity
1 57494P 1 M 1 AK07Y25N001915 000
2 P160866 1 M2AT13C47M001187 .000
3
4
5
APPLICATION CONTINUED 0N PAGE 2
PAGE 1
NC SEPTAGE MANAGEMENT FIRh4
Recertification of Pumper Vehicle(s)
Septage Firm Permit #:NCS-a / 33 c3 ` g2c> |o
Number of Pumper Vehicles:
CERTIFICATION:"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the
submitted permit application meet the requirements for safe and sanitary
transportation of septage as required byl5A NCAC 138 .0844 (a) and vehicle
lettering as required by 15A NCAC 138 .0844 (b). I also certfty that a log is
maintained of each septage pumping event as required by 15A NCIAC 138 .0839
(a). I am aware that there are significant penalties for false certification including
the possibility of fine and imprisonment."
Print Name
S:\Solid_Waetotefats®ptag®\formsu]umpei Vehlcles C®tification.doc
8 P.5 C ,,-. I I
AUTHORIZATloN TO DISCHARGE SEPTAGE T0 A WASTEWATER TREATMENT FACILITY
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 wHl be required at the discretion of the wastewater
treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incomingwastewaterstream.
(Plant operator ln Change (ORC), ORC. license Number, Name of Plant)
q?/ - (){=(c`
cJ ` 74f/
(Phone Number)
do hereby authorize
(Address)
Mt`, 0.,`cc: P\«J.-,J<r^
(Owner/Operator Septage Management Firm)
°f 8 r`'Uu r"hL'-~J (=Ji8i:f=aLLcf/in"NC:JL={a:dfNh:`nTfber) , - Nes# --72°72f`
to dis-pose of: domestic septage X , portable toilet \^/aste Y
greaseseptage (grease trap pumpings)~commercialfindustrial septage hj/A ,from
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
4u+)'c„zC
betweenthehoursof fAur~ 7Prt^,(to¥t'?:J{}f//"€ t
Reintroducing partiallytreated liquid into a grease trap is acceptable _Yes XNo
This authorization shall be valid until -`- (Usually December 31, Year)
Subscribed and affirmed before me this
Darrfe lL',,/+-3/ i?
dayorbefuhar,2OJi
My Commission expires:
JULIE C CASPEF]NRBENfELREL)
COMMONWEALTH oF VmGiNiA
My cOMMissioN ExpmEs MARCH 31 . 2020
Note: Falsification of this document by the septage management firm shall lead to permit revocation,
S:/Solid_Waste/CIA/SEPTAGE/I:ORMS/2018 Firm Applicatian/WWTP Authori2atlon Form 2018
t` t i r i r, C :, i ' I I r fi i ).-T, ,J{ I ; i I {f, ,A;1 /j i F=[z ,\ . , ; ( r r , .t ,ii\`, a t \'__i t i a j I \,,`
I,`i`/ir,i`?r,c\(\ut`\/tic,t{;rL/=1;j\'`1`,,in`ti11-\
` : r, ii ,:i `vfi/7{c +Li r>c,,I,i I . ri INVOICE
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone; [phone] fax: (919) 707-8236
email: [e-mail]
Septage-Annua
To, Bruce Hines
Brown Plumbing And Septic, LLC
1868 Mt Pleasant Rd
Chesapeake, VA 23322
Date. 10/15/2019
I nvolce #, NCS-01332-2020
Description
Brown Plumbing And Septic, LLC (NCS-01332)
808 Land of Promise Rd
Chesapeake, VA 23322
Number of Trucks. 2
Amount Due
$800.00
TotalAmountDue '~- seoo.00
Date Due 11/14#019
Pavment ODtions:
E-check - Availeble online at http//go.nedenr.gov/swpay
Requires bank account and routing information You will need to use the zip code in the description box and the invoice number
shown on this invoiee to access your account lf a zip code is not listed, use the code. 99999 along with the invoioe number
Credit Card - Avahable online at http//go.nedenr gov/swpay
Accepts Mastercard, visa, and Discover cards. You will need to use the zip code in the description box and the invoioe number
shciwn on this invoice to acoess your account lf a zin code is not listed, use the code 99999 along with the invoice number
rconvenience Fee Of 2 65% added to amount invoiced I
Paper check - Make checks payable to N C. Division Of Waste Management, Solid Vvaste Sectron, include Permit Number and invoice number
on check. If you are paying by electronic transfer, include the invoice number with your electronie transfer Please return a copy
Of this invoice with your payment
[G S 25-3-506: A $25.00 processing fee wilt be charged on all returned checks.I
EXDlanation Of Invoice Amoum is Based on Facilitv's Current Permit Status:
Pursuant to North Carolina General Statute 130A-291 1 you are required to pay fee(s) based on your solid waste management activities. The fee(s)
shatl be used to support the septage management program
Solid \^faste Contacts:
Btlling process,
Mary H Johnson [phone]
Regulations and Technical Assistance.
Chester cobb [phone] Septage Management Firms, Land Application sites, Detention Facilities
Adam Ulishney (919) 707-8210
MMoreinforTTratjonavailableontheweb:
NNorth Carolina Department Of Environmental Quelfty (DEQ) -http//deq nc go\/
NNowh Carolina Solid Waste Program -http://deq.nc.gov/about/divisionstwaste-management/solid-waste-section
NNorth Carolina Electronies Management Program -http//deq.nc.gov/about/divisronstwaste-managemenvelectronics-management
NC Solid Waste lnvolce Form I-2016
12/17/2019
Payment Results
NC DEQ Solid Waste epayment - Payment Results
Thank You
Merchant: NDENR-Solid waste
Merchant City/State: Raleigti, North Carolina
Payment Status: Payment Success
Payment Date: t2/17/2019
Conftmatton Number: t9121758756751
BIIting Address: Brown Plumb7ng and septic
808 land of promise road
chesapeake, VA 23322
(757) 407-2448
E-Mail Address : brawnplumbingandseptic@venzon. net
Total Amount: 8co.00 USD
Account #: x6312
Routing #: 051403164
Account Type: Cheeklng
Reference Information: NCS-01332-2020,23322,Brown Plumbing And Sept!c,
LLC,1868 Mt Pleasant Rd,Che5apeake,VA,NCS-
01332,$800.00
Disclaimer: No convenience fee is charged for using the echeck
. payment method. However, a processing fee of $25.coor lox of the amount of the echeck, whlchever ls
greater, wi\l be charged for an echeck returned due
to in5ufficiei`t funds. Payments are rwLl and void jf
peyment is made with an echeck that is returnedunpaid by the bank.
E# ,t I
httpsM^rm^/.thopayplace.com/ncosc/ncdenreep/solidwasto/paymentcomplcte.aspx iJli
PayPoint
Payment Receipt
Application: Solid Waste
Merchant: NDENR-Solid Waste
Merchant City /State: Raleigh, North Carolina
Payment Status: Success
Result Message: Success
Confirmation Number: 19121758756751
Payment Date: 12/17/2019
Posting Date: 12/17/2019
Billing Information: Brown Plumbing and septic 808 land of promise road
chesapeake, VA 23322 7574072448 [e-mail]
Payment Amount: 800.00 USO
Account Type: Checking
Page 1 of 1
Reference Information: NCS-01332-2020,23322,Brown Plumbing And Septic, LLC,1868 Mt Pleasant Rd,Chesapeake,VA,NCS-01332,$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 12/17/2019