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HomeMy WebLinkAboutNCS00823_2020Permit_Initial 2020 Permit and Registration General Maintenance Inc is hereby issued a Septage Management Firm Permit, Permit Number NCS-00823 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. Domtar Company WWTP, Plymouth 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?** Mailing Address** Phone**Fax Email** Firm owner's name** Mailing address same as street address of office?** Phone**Fax Firm Info General Maintenance Inc The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00823 Enter the five digits following the NCS # City Plymouth State / Province / Region NC Postal / Zip Code 27962 Country USA Street Address 1445 Garretts island rd Address Line 2 Washington Yes No City Plymouth State / Province / Region NC Postal / Zip Code 27962 Country USA Street Address PO Box 578 Address Line 2 252 7932770 saunders@greenvillenc.com Owner Info Robert Saunders Yes No 252 793 3287 Firm operator's name**Firm operator's title Mailing address same as street address of office?** 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** Title** Choose how to add vehicle descriptions** Pumper Vehicles Usage*License Tag #*Vehicle Identification #*Tank Capacity* Operator Info Jeannine Saunders VP Yes No 252 793-2770 Type and amount of septage pumped in the last 12 months 0 8,650 0 0 0 North Carolina counties of operation Martin/Washington Vehicle Info Yes No 1/6/2020 SEc Add vehicles individually Upload List 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 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** Portable Toilet Waste BN4498 1HTSAZPM74t2438 1,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Domtar 12/31/2021 Scan 317.pdf 146.81… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 12/7/2019 4 State Fair grounds 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 or notes Signature Date Print Name**Title** 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. 1/6/2020 02:19:34 AM Jeannine Saunders Sec 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: 20012465654427 Payment Date: 01/24/2020 Posting Date: 01/24/2020 Billing Information: General Maintenance Inc PO Box 578 Plymouth, NC 27962 2527932770 saunders@greenvillenc.com Payment Amount: 550.00 USD Page 1 of 1 Account Type: Checking Reference Information: NCS-00823-2020,27962,General Maintenance Inc,PO Box 578,Plymouth,NC,NCS-00823,$550.00 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 1/27/2020