HomeMy WebLinkAboutNCS01187_2020Permit_Initial 2020
Permit and Registration
Enviro Sol
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01187
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-60-09
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?**
Mailing Address**
Firm Info
Enviro Sol
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01187
Enter the five digits following the NCS #
City
Charlotte
State / Province / Region
NC
Postal / Zip Code
28216
Country
United States
Street Address
3336 Sunset Rd
Address Line 2
Mecklenburg
Yes No
City
Matthews
State / Province / Region
NC
Postal / Zip Code
28106
Country
United States
Street Address
P.O. Box 2257
Address Line 2
7047776199
envirosol500@yahoo.com
Owner Info
Tracy Harris
Yes No
Phone**Fax
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 Toilet Waste
Grease (Restaurant)Grease (Restaurant)
Treatment PlantTreatment Plant
Industrial/CommercialIndustrial/Commercial
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**
City
Charlotte
State / Province / Region
NC
Postal / Zip Code
28216
Country
United States
Street Address
3336 Sunset Rd
Address Line 2
7047776199
Operator Info
Tracy Harris Owner/Operator
Yes No
7047776199
Type and amount of septage pumped in the last 12 months
0
0
27,000
0
0
North Carolina counties of operation
Mecklenburg, Union, Cabarrus, Gaston, and Iredell
Vehicle Info
Yes No
12/31/2019
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)**
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**
Owner/Operator
Add vehicles
individually
Upload List
Grease (restaurant) ELW8892 1GBE5C3265F525949 1,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Yes No
Yes No
SDTF-34-06 12/31/2020
Yes No
Septage Management Firm Operator Training Completed
12/7/2019 4
Raleigh, NC
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
0
Registration Type
-------
60-09 JRB 4/23/2020
Comments or notes
Signature
Date
Print Name**Title**
Registered Portable Sanitation Firm
Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments and Notes
I will mail in a copy of my discharge authorization and class hour
certificate as it seems i am unable to upload either thru the upload link on
the site.
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.
12/30/2019
10:41:20 PM
Tracy Harris Owner/Operator
PayPoint
Payment Receipt
Application: Solid Waste Credit
Merchant: NDENR-Solid Waste Credit
Mercha,,t City/State: Raleigh, North Carolina
Merchant Location Code: 00001
Payment Status: Success
Result Message: Success
Confirmation Number: 19123161023023
Payment Date: 12/31/2019
Posting Date: 12/31/2019
Billing Information: Tracy Harris 3336 Sunset Rd Charlotte, NC 28216 7047776199 skynz71@yahoo.com
Payment Amount: 550.00 USO
Card Type: MC
Method: Not Present
Reference Information: NCS-01187-2020,28106,Enviro Sol,PO Box 2257,Matthews,NC,NCS-01187,$550.00
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