HomeMy WebLinkAboutNCS01456_2020Permit_Initial 2020
Permit and Registration
Eagle Septic Pumping
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01456
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. McAlpine Creek WWTP, Charlotte NC
2. Rocky River Regional WWTP, Concord NC 3. Archie Elledge Wastewater Facility, Winston-Salem 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?**
Mailing Address**
Phone**Fax
Firm Info
Eagle Septic
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01456
Enter the five digits following the NCS #
City
Mooresville
State / Province / Region
NC
Postal / Zip Code
28117
Country
USA
Street Address
516-D River Highway
Address Line 2
Suite 372
Iredell
Yes No
336-970-0502
bigdavewelch@gmail.com
Owner Info
David Welch
Yes No
City
Winston Salem
State / Province / Region
NC
Postal / Zip Code
27106
Country
USA
Street Address
957 Kenleigh Cir
Address Line 2
336-970-0502
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
Mailing address**
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**
Operator Info
David Welch Manager
Yes No
City
Winston Salem
State / Province / Region
NC
Postal / Zip Code
27106
Country
USA
Street Address
957 Kenleigh Cir
Address Line 2
336-970-0502
Type and amount of septage pumped in the last 12 months
428,000
0
0
0
0
North Carolina counties of operation
Forsyth, Cabarrus, Davidson, Davie, Iredell, Mecklenburg, Rowan, Stokes ,
Surry Yadkin
Vehicle Info
Yes No
11/9/2019
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.
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
Manager
Add vehicles
individually
Upload List
Domestic Septage YA14617711H 1HTMMAAN2BH323656 2,000
Domestic Septage JK-2732 JALC4B14737013711 1,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Archie Elledge Wastewater Facility 12/31/2020 Authorization
to discharge
Winston
Salem.pdf
527.41…
WS
Authorization
to discharge
2020.pdf
221.04…
Rocky River Regional Wastewater
Treatment Plant
6/30/2021 Authorization
to discharge
Rocky
River.pdf
521.42…
WSACC
Authorization
to discharge
thru June 30
2021.pdf
2.68MB
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
McAlpine Creek Wastewater Treatment
Plant
12/31/2019 Charlotte
Water
Discharge
Permit.pdf
438.85…
McAlpine 2020
authorization
to
discharge.pdf
432.89…
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
9/14/2019 4
Asheville
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
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.
Date
Print Name**Title**
11/9/2019
11:00:00 AM
David Welch Manager
PayPoint
Payment Receipt
Application: Solid Waste
Merchant: NDENR-Solid Waste
Merchant City/State: Raleigh, North Carolina
Payment Status: Settled
Result Message: Payment completed and settled successfully.
Confirmation Number: 19110952040842
Payment Date: 11/09/2019
Posting Date: 11/09/2019
Billing Information: Fresh and Clean LLC dba Eagle Septic 516 D River Highway Suite 372 Mooresville, NC 28117 7044014821 eagleseptic2@gmail.com
Payment Amount: 800.00 USD
Page 1 of 1
Account Type: Checking
Reference Information: ncs-01456-2020,27106,Eagle Septic Pumping,957 Kenleigh Circle,Winston-Salem,NC,NCS-01456,$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 11/12/2019