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Home My WebLink AboutHandoutContinuing education classes are offered by the two groups listed below. They can be contacted directly for information about upcoming classes. The NC PUMPER GROUP, now being managed by: Website: www.jonesstreetconsulting.com Jones Street Consulting Contact: Shelia Cantine Phone: (252) 249-1097 Email: cantinesh@gmail. com NC SEPTIC TANK ASSOCIATION (NCSTA) Website: www.ncsta.net Doug Lassiter, Executive Director/Lobbyist Email: ncseptictank@gmail.com Office: 336-416-3564 Fax: 866-651-8102 Revised 20231114 APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM PAGE 1 DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION – 1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646 (1.) Firm name: (The “Firm name” must be exactly as it is shown on your vehicle(s)). Street address of office: City: State: Zip: Mailing address (if different): City: State: Zip Phone: Fax: E-Mail: County: Septage Management Firm permit number: NCS # (2.) Firm owner's name: Mailing address (if different): City: State: Zip Phone: Fax: (3.) Firm operator's name: Firm operator’s title: Mailing address (if different): City: State: Zip: Phone: Fax: (4.) Type(s) of septage pumped: Write in the number of gallons pumped in last 12 months (Example: Domestic: 50,000). Domestic Portable Toilet Waste Grease (Restaurant) Treatment Plant Industrial/Commercial (5.) N.C. Counties of Operation: (List each county you are authorized to do business in) (6.) Total Number of Pumper Vehicles Operated: Number used for: Domestic Septage: Grease (restaurant): Other: Vehicle Information: (use additional paper if needed) Portable Toilet Waste: License Tag # Vehicle Identification # Tank Capacity 1 2 3 4 5 APPLICATION CONTINUED ON PAGE 2 APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM PAGE 2 (CONTINUED FROM PAGE 1) (7.) Do you plan to operate pumper vehicles? (check one) ( ) yes ( ) no. If you checked yes above, you must attest to the following statement before a permit may be issued. "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 are significant penalties for false certification including the possibility of fine and imprisonment." Do you attest to the statement above? ( ) yes ( ) no Initial Date (8.) Septage Disposal Method: (check one) a) Approved wastewater treatment plant: ( ) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each plant, as indicated in Subparagraph .0833(c)(14) of the Septage Management Rules. b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed) SLAS#: Expiration Date: SLAS#: Expiration Date: c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed) SDTF#: Expiration Date: _ SDTF#: Expiration Date: (9.) Septage Management Firm Operator Training Completed: Date: Location: Hours: Training Sponsored or Provided by: (10.) Septage Land Application Site Operator Training Completed: Date: Location: Hours: Training Sponsored or Provided by: (11.) Registration type requested: CHECK ONE Registered Portable Sanitation Firm: ______ Registered Septage Management Firm: ______ Registered Portable Sanitation and Septage Management Firm: _____ 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 (Signature of company official required) Date Print Name Title Other Comments: Rev. 10-27-2020 AUTHORIZATION TO DISCHARGE SEPTAGE TO 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 will be required at the discretion of the wastewater treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming wastewater stream. I, (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) (Address) do hereby authorize (Phone Number) (Owner/Operator of Septage Management Firm) of NCS # (Septage Management Firm Name and NCS number) to dispose of: domestic septage , portable toilet waste , grease septage (grease trap pumpings) commercial/industrial septage , from (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: (Location) between the hours of Reintroducing partially treated liquid into a grease trap is acceptable _____Yes _____No This authorization shall be valid until (Usually December 31, Year) Signed Date (Facility Operator) Subscribed and affirmed before me this day of , 20 My Commission expires: (Notary Public) (OFFICIAL SEAL) Note: Falsification of this document by the septage management firm shall lead to permit revocation. AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a detention or treatment facility permit holder to indicate that permission has been given to a permitted Septage Management Firm to discharge septage into the permit holders detention or treatment facility.) I, (Facility Operator) (Operator Address) do hereby authorize: (Owner of Septage Management Firm) NCS # (Name of Septage Management Firm) (Address of Septage Management Firm) to utilize septage detention or treatment facility # for the treatment or storage of septage * in 20 . The facility will be operated in accordance with the Septage Management Rules **. Date: Signed (Facility Operator) * As defined in G.S. 130A-290(a)(32) ** As defined in 15A NCAC 13B .0800 Return the properly completed form to: North Carolina Department of Environmental Quality Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 NC SEPTAGE MANAGEMENT FIRM S:\Solid_Waste\cla\septage\forms\Pumper Vehicles Cetification.doc Recertification of Pumper Vehicle(s) Septage Firm Permit #: NCS- 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 by15A NCAC 13B .0844 (a) and vehicle lettering as required by 15A NCAC 13B .0844 (b). 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 are significant penalties for false certification including the possibility of fine and imprisonment.” Signature (Signature of company official required) Date Print Name Title NCDEQ Environmental Compliance Branch 04/09/2018 CURRENT DISPOSAL SITES FOR GREASE Grease Compost Facilities Facility Name Contact Name Phone Number County Dean Brooks Judy Brooks 919-837-5914 Chatham McGill Environmental Steve Cockman 919-362-1161 Chatham McGill Environmental Sean Fallon 919-406-4270 Sampson Grease Septage Detention & Treatment Facilities Facility Name Contact Name Phone Number County 301 Environmental Clean-Up Inc. Clayton McDonald 910-483-8873 Cumberland A-Sani Can Service Gary Dellinger 704-483-5641 Lincoln Liquid Environmental Louis Humphreys 336-972-4299 Forsyth Liquid Environmental Jack Wells 803-412-5310 Mecklenburg Brian’s Waste Recycling Cody Hunt 910-738-5311 Robeson Liquid Environmental Joe Mayberry 704-460-5267 Cumberland Craven Ag Services, Inc. John Dunham 252-663-5334 Craven David Brantley & Sons Shane Brantley 252-478-3721 Franklin D&D Organic Farming LLC David Newsome 919-242-3751 Wilson Environmental Relief Technology (ERT) Rodney Sides 704-904-0300 Forsyth GreaseCycle Dylan Gehrken 919-817-8706 Wake Stanley Septic Service, Inc. Jim Lanier 704-263-8186 Durham Stanley Septic Service, Inc. Jim Lanier 704-263-8186 Gaston Waste Management David Greer 910-915-9040 New Hanover Grease Outlet Joe VanSchaick 910-990-2926 Wake Digesters Facility Name Contact Name Phone Number County Full Circle Recycle Julian Barham 919-365-4401 Johnston Landfills Gaston County 704-922-0267 Mecklenburg County 704-336-5371 Sampson County Disposal Inc. 910-525-4132 ** Grease septage can also be land applied on a permitted Septage Land Application Site. NC DENR Composting and Land Application Branch 04232021 Wastewater Treatment Plants that Accept Grease North Carolina Lexington Regional WWTP 28 West Center Street Lexington, NC 27292 336-357-7889 Operator: Gisele H. Comer Note: Only accepts grease waste collected within Lexington city limits City of Asheboro WWTP 1032 Bonkemeyer Drive Asheboro, NC 27203 336-672-0892 Operator: Mike Wiseman Note: Only accepts grease waste collected in Randolph County Georgia Judson Vick WWTP 300 Judson Vick Drive Chatsworth, GA 30705 706-695-3132 Ext. 42 Operator: Edwin L. Penland South Carolina Southeast WWTP 501 South Street Pageland, SC 29728 843-672-2232 Operator: Jon Hurst Virginia Hampton Roads Sanitation District WWTP 1436 Air Rail Avenue Virginia Beach, VA 23455 757-460-7042 Operator: Bernard D. Strohmeyer, Jr. Lower Smith River WWTP 1780 Beckham Church Road Axton, VA 24054 276-638-5137 Operator: James Stephen Clary WWTP County Address City State Zip Code Phone Contact Burlington, City of Alamance 225 Stone Quarry Road Burlington NC 27217‐(336) 578‐0515 Clarence Sell East Burlington WWTP Alamance 225 Stone Quarry Road Burlington NC 27217‐(336) 578‐0515 Clarence Sell Taylorsville, Town of Alexander 67 Main Avenue Taylorsville NC 28681‐‐David Robinette Cub Creek WWTP Alleghany 700 Snyder Street Wilkesboro NC 28697‐(336) 667‐2391 Scott Church Anson County Regional WWTP Anson PO Box 553 Wadesboro NC 28170‐(704) 694‐5293 Leon Gatewood Jefferson, Town of Ashe 1233 Hwy 16 S Jefferson NC 28640‐(336) 246‐2165 Tim Church Newland WWTP Avery Cow Camp Rd Newland NC 28657‐(828) 260‐2027 Jadd Brewer Washington Regional WWTP Beaufort PO Box 1988 Washington NC 27889‐(252) 975‐9310 Stephen Adam Waters, II Windsor, City of Bertie 149 Country Farm Rd Windsor NC ‐ (252) 794‐2331 William Coburn Bladenboro, Town of Bladen P.O. Box 455 Bladenboro NC 28320‐(910) 863‐3655 Philip Schreader Bald Head Island WWTP Brunswick PO Box 3090 Bald Head Island NC 28461‐(910) 457‐7350 David A. Suther, Sr. West Brunswick Regional WWTP Brunswick 235 Grey Water Road Supply NC 28462‐(910) 755‐7921 Jerry Price French Broad River Water Reclamation Fac Buncombe 2028 Riverside Dr.Asheville NC 28804‐(828) 254‐9646 Peter C. Ward Metropolian Sewerage District Buncombe 2028 Riverside Drive Asheville NC 28804‐(828) 254‐9646 Monty Payne MSD‐Buncombe Co. Buncombe 2028 Riverside Drive Asheville NC 28804‐(828) 254‐9646 Monty Payne Rocky River Regional WWTP Cabarrus 6400 Breezy Lane Concord NC 28025‐(704) 788‐4164 Timothy Mauldin Lenoir, City of Caldwell 1905 Broadland Road Lenoir NC 28645‐(828) 757‐2198 Monte L. Wall Morehead City WWTP Carteret 1000 Treatment Plant Road Morehead City NC 28557‐(252) 726‐6848 ‐ Catawba Water Polution Control Catawba 1000 Vine Arden Road Morganton NC 28680‐3448 (828) 438‐5285 Don Danford Clark Creek POTW Catawba PO Box 550 Newton NC 28658‐(828) 695‐4346 Danny Sigmon Hickory, City of Catawba 4014 River Rd Hickory NC 28602‐(828) 323‐7427 Kevin Greer Siler City, Town of Chatham PO Box 769 Siler City NC 27344‐(919) 742‐4581 Curtis Brown Andrews, Town of Cherokee 464 Reagan Ave Andrews NC 28901‐(828) 321‐5111 Timothy Wood Clay County WWTP Clay ‐‐ NC ‐‐‐ Broad River WWTP Cleveland 1940 S LaFayette Road Shelby NC 28150‐(704) 487‐6857 Todd Humphries Shelby, City of Cleveland 1940 S. Lafayette Street Shelby NC 28150‐(704) 484‐6850 ‐ Chadbourn, City of Columbus 5275 Chadbourn Hwy Chadbourn NC ‐ (910) 654‐3045 Tracy Fure Cross Creek WRF Cumberland PO Box 1089 Fayetteville NC 28302‐1089 (910) 223‐4700 Dickie Vinent Spring Lake, Town of Cumberland 350 Harps Road Spring Lake NC 28390‐(910) 497‐5748 Daniel Gerald Denton, City of Davidson 300 Council Access Road Denton NC ‐ 336‐859‐4460 Troy Branch Lexington, City of Davidson 28 West Center Street Lexington NC 27292‐(336) 357‐7889 Gisele H. Comer Cooleemee WWTP Davie Hwy 801 South of Cooleemee Mocksville NC 27028‐‐David Nobles North Durham WRF Durham 1900 East Club Boulevard Durham NC 27704‐(919) 560‐4384 John Dodson South Durham WRF Durham 6605 Farrington Road Chapel Hill NC 27517‐(919) 560‐4386 Robert Dodson Rocky Mount, City of Edgecombe ‐‐ NC ‐‐‐ Macclesfield, Town of Edgecombe 771 S Fountain Rd Macclesfield NC ‐ (252) 827‐4823 Phillip Wainwright Tar River Regional WWTP Edgecombe 3031 Treatment Plant Road Rocky Mount NC 27801‐(252) 972‐1400 T. Kirkland Bass Archie Elledge WWTP Forsyth 2799 Griffith Road Winston‐Salem NC 27103 (336) 765‐0130 N. Lee Byerly Winston‐Salem, City of Forsyth 2799 Griffith Road Winston‐Salem NC 27103‐(336) 765‐0130 N. Lee Byerly Louisburg, Town of Franklin Hwy 56 East Louisburg NC 27549‐(919) 496‐2677 Jimmy Ellington Robbinsville, Town of Graham 197 Sandhole Road Robbinsville NC 28771‐(828) 479‐6229 Lamar Williams Oxford, City of Granville 1649 New Commerce Drive Oxford NC 27565‐‐Dennis Wilson Snow Hill, Town of Greene 201 N Greere St Snow Hill NC 28580‐(252) 747‐3414 Joe Roberto, Jr. Eastside WWTP Guilford 5898 Riverdale Road Jamestown NC 27282 (336) 822‐4732 J. Duane Hamby High Point, City of Guilford 5898 Riverdale Road Jamestown NC 27282‐(336) 822‐4732 Randy L. Smith ORC T Z Osborne WRF Guilford 2350 Huffine Mill Road McLeansville NC 27301‐(336) 433‐7224 Walter Kling Roanoke Rapids, City of Halifax PO Box 308 Roanoke Rapids NC 27870‐(252) 537‐9137 ‐ Roanoke River WWTP Halifax 135 Aqueduct Road Weldon NC 27890‐(252) 536‐4884 Danieley Brown Waynesville, Town of Haywood 566 Walnut Trail Waynesville NC 28785‐(828) 452‐4685 David Smith Hendersonville, City of Henderson 305 Williams Street Hendersonville NC 28793‐(828) 697‐3000 Lee Smith Ahoskie, City of Hertford PO Box 767 Ahoskie NC 27910‐0767 (252) 332‐5146 Evelyn Howard Hertford, Town of Hertford 142 Meads Circle/PO Box 32 Hertford NC 27944‐(252) 333‐6948 Charles A. Jones, Jr. Tuckaseigee W&S Auth Jackson 1246 West Main Street Sylva NC 28779‐(828) 586‐9318 Stan Bryson Benson, Town of Johnston 770 Hannah Creek Road Four Oaks NC 27254‐(919) 894‐2373 Martin Morris Central Johnston County Regional WWTP Johnston PO Box 2263 Smithfield NC 27577‐(919) 989‐5075 Haywood M. Phthisic, III Johnston, County of Johnston PO Box 2263 Smithfield NC 27577‐(919) 989‐5075 Haywood M. Phthisic, III Big Buffalo WWTP Lee 5327 Iron Furnace Rd Sanford NC 27330‐(919) 775‐8305 Jay Grainger Kinston, City of Lenoir ‐‐ NC ‐‐‐ KRWRF Lenoir PO Drawer 339 Kinston NC 28502‐(252) 939‐3375 Charles Cauley, Jr. Franklin, Town of Macon 188 West Main St Franklin NC 28734‐(828) 524‐2516 Mike Decker Highlands, Town of Macon PO Box 460 Highlands NC 28741‐(828) 526‐0504 ‐ Robersonville, City of Martin 1149 Rgerson St Robersonville NC 28771‐(252) 795‐4558 Wallace Andrews Coats American Inc McDowell 630 American Thread Rd.Marion NC 28752‐(828) 756‐4111 Phillip C. Pittman Marion, City of McDowell PO Box 700 Marion NC 28752‐(828) 652‐8843 Larry Carver Charlotte‐Mecklenburg Utility Mecklenburg 4222 Westmont Drive Charlotte NC 28217‐(704) 336‐4407 Regina Dobson Cousar CMUD Mecklenburg 4222 Westmont Drive Charlotte NC 28217‐(704) 336‐4407 Bill Gintert *The information on this list is currently being updated and may contain errors* Some of the facilities listed may not currently be accepting septage. All facilities that accept septage may not be on this list. McAlpine Creek WWTP Mecklenburg 4222 Westmont Drive Charlotte NC 28217‐(704) 336‐4407 Bill Gintert Spruce Pine, City of Mitchell 904 Creed Pitman Road Spruce Pine NC 28777‐‐ Richard Conipe Troy, Town of Montgomery 315 North Main Street Troy NC 27371‐(910) 572‐1186 Gray Walls Moore Co/Aberdeen Moore 1094 Addor Road Aberdeen NC 28315‐(910) 281‐3146 James Delmo Frye Carolina Beach, Town of New Hanover ‐ ‐ NC ‐ ‐ ‐ Cape Fear Public Utility Authority New Hanover 235 Government Center Drive Wilmington NC 28403‐(910) 332‐6558 Beth Eckert James A. Loughlin WWTP New Hanover 2311 North 23rd Street Wilmington NC ‐ (910) 332‐6736 Jeff Cermak Enfield, Town of Northampton ‐ ‐ NC ‐ ‐ ‐ Woodland, Town of Northampton PO Box 297 Woodland NC 27897‐(252) 587‐7161 Robert L. Collier Jacksonville, City of Onslow 350 B South Marine Boulevard Jacksonville NC 28540‐(910) 938‐5249 Peter A Deaver Pluris, LLC Onslow PO Box 856 Sneads Ferry NC 28460‐(910) 327‐2880 Randy Hoffer Scientific Water & Sewer Onslow 112 Scientific Lane Jacksonville NC 28540‐(910) 455‐3743 ‐ French Creek WWTP Onslow PSC Box 20005 Camp Lejeune NC 28542‐0004 (910) 451‐7190 Gregory Wright Mason Farm WWTP Orange 170 Old Mason Farm Road Chapel Hill NC 27517‐(919) 537‐4350 Damon L. Forney Elizabeth City Pasquotank PO Box 347 Elizabeth City NC 27909‐0347 (252) 337‐6626 Stephen Carven Roxboro, City of Person 902 Cavel‐Chub Lake Road Roxboro NC 27574‐(336) 599‐8232 Tommy Satterfield Greenville Utilities Commission Pitt 240 Aqua Lane Greenville NC 27834‐(252) 551‐1542 Daniel H. Tracy Columbus, City of Polk ‐ ‐ NC ‐ ‐ ‐ Asheboro, City of Randolph 1032 Bonkemeyer Drive Asheboro NC 27203‐(336) 672‐0892 Michael Ray Wiseman Lumberton, City of Robeson 700 Lafayette St Lumberton NC 28358 (910) 671‐3858 Jon Locklear Eden, City of Rockingham 204 Meban Bridge Road Eden NC 27288‐(336) 627‐1009 Melinda Ward Mebane Bridge WWTP Rockingham 204 Mebane Bridge Road Eden NC 27288‐(336) 627‐1009 Melinda Ward Town Creek Rowan 850 Hiligtown Road East Spencer NC 28039‐(704) 638‐5377 Martin Trexler Cliffside Sanitary District Rutherford ‐ ‐ NC ‐ ‐ ‐ Forest City, City of Rutherford 397 Riverside Drive Forest City NC 28043‐(828) 248‐5217 Jeff Dotson Spindale, Town of Rutherford 101 Ecology Street Spindale NC 28160‐(828) 286‐3407 Bill Hodge Clinton, City of Sampson 123 Millbranch Rd Clinton NC 28328 (910) 299‐4908 Neal Carroll Long Creek Wastewater Treatment Stanly 1040 Coble Avenue Extension Albemarle NC 28001‐(704) 948‐9638 James Brian Rogers Walnut Cove, Town of Stokes 1068 Old Town Road Walnut Cove NC ‐ (336) 591‐4809 Mark Anthony Bowman Mount Airy, Town of Surry 1750 Andy Griffith Parkway South Mount Airy NC 27030‐(336) 786‐3597 Kent Scott Cherokee, Town of Swain 2000 Old #4 Road Cherokee NC 28719 (828) 359‐6776 Richard L. Myers Brevard, City of Transylvania 3226 Wilson Road Brevard NC 28712‐(828) 883‐8461 ‐ Rosman, Town of Transylvania PO Box 954 Cullowhee NC 28723‐(828) 392‐0340 Dale Wike Town of Rosman Transylvania Wastewater Treatment Plant Rd Rosman NC 28772‐(828) 342‐0340 Dale Wike Columbia, Town of Tyrell ‐ ‐ NC ‐ ‐ ‐ Monroe, City of Union ‐ ‐ NC ‐ ‐ ‐ Henderson WWTP Vance 1646 W. Andrews Ave. Henderson NC 27536‐(252) 431‐6080 Harry L. Allen Raleigh, City of Wake ‐ ‐ NC ‐ ‐ ‐ Neuse Rivers Wake 8500 Battle Bridge Road Raleigh NC 27610‐(919) 996‐3712 TJ Lynch Warren County Warren 738 US Hwy 401 South Warrenton NC 27589‐(252) 257‐1776 William R. Perkinson Creswell, Town of Washington 69 Cherry Rd. Creswell NC ‐ (252) 394‐5134 Ryan Swain Domtar Company WWTP Washington PO Box 747 Plymouth NC 27962‐(252) 793‐8111 ‐ Boone, Town of Watauga 201 Casey Lane Boone NC 28607‐(828) 268‐6271 Rudy Broschinski Wilkesboro, Town of Wilkes ‐ ‐ NC ‐ ‐ ‐ North Wilkesboro, Town of Wilkes 100 Thurman Street North Wilkesboro NC 28659‐(336) 838‐5001 Justin Shell Wilson, City of Wilson ‐ ‐ NC ‐ ‐ ‐ Hominy Creek WWTP Wilson 3100 Old Stantonsburg Road Wilson NC 27893‐(252) 399‐2491 Russell P. Brice YVSA (Yadkin Valley Sewer Authority) Yadkin 211 Marion Road Elkin NC 28621‐(336) 835‐9817 Nicole Johnston Georgetown, City of SC 126 Ridge Street Georgetown SC 29440‐(843) 545‐4500 Lane Mixon Marion WWTP SC 100 Collins Street Marion SC 29574‐(843) 421‐7745 Michael Shall Copperhill, TN TN PO Box 640 Copperhill TN (423) 496‐7023 Lucas Raper Chatsworth, Ga GA 300 Judson Vick Drive Chatsworth GA 30705 (706) 695‐3132 Ellijay, GA WRF GA 64 Merk Davis Drive Ellijay GA 30540‐(706) 635‐7930 Gary McVey Upper Smith River WWTP VA 3374 River Road Fieldale VA 24089‐(276) 340‐8369 James Stephen Clary Chatham VA, Town of VA 400 Hillcrest Drive Chatham VA 24531‐(434) 432‐8304 Willis A. Landrum Danville VA, City of VA 229 Northside Drive Danville VA 24540‐(434) 799‐5137 Gary Manville Henry County PSA VA 3300 Kings Mountain Road Collinsville VA 24078‐(276) 634‐2540 Michael E. Ward Maple Avenue WWTP VA 500 Maple Ave South Boston VA 24592‐(434) 575‐4267 Randy Cage Three Creek WWTP VA 428 Moonlight Rd Emporia VA 23847‐(434) 848‐2520 Michael D. Smith Hampton Roads, VA VA PO Box 5902 Virginia Beach VA 23471‐0902 (757) 460‐7042 Kevin D. Heitzhaus SEPTAGE PUMPING LOG INSTRUCTIONS The NC Septage Management Rules (15A NCAC 13B .0839(a)) and the Federal Rules (40 CFR 503.17(b)) require that specific information be recorded and maintained for septage management firms. Incomplete record keeping may result in penalties being issued by State and/or Federal agencies. In order to assist you in maintaining the required records, the attached form has been prepared as a guide. The form contains the information that septage management firms are required to keep. The federal rules are located in 40 CFR 503.17(b), which can be found in the Appendix I of the North Carolina Septage Management Rules. You are not required to use this form. It is only an example to assist you in keeping the records required by state and federal rules. Portable toilet pumpers may record daily totals rather than each pumping event if desired. Section I: Write in your firm name and your firm permit number in the spaces provided. Section II: Column 1: the date that the septage was pumped into your truck. Column 2: the type of septage that you pumped. The most common types are domestic and grease. Column 3: Amount of septage pumped in gallons. Column 4: Location of septage pumped (an address, i.e. 217 W. Jones St., Raleigh). For portable toilet waste: Each route should include at minimum the town name where the portable toilet waste is pumped from. Column 5: The date you pumped the septage out of your truck. Column 6: Where you put the septage you removed from your truck. Write in the SLAS permit number if land applied, “WWTP” if taken to a wastewater treatment plant, or the SDTF permit number if put in storage tank. SEPTAGE PUMPING LOG Firm Name: ______________________________ Firm Permit #: ______________________________ Date Tank Pumped Type of Septage Amount of Septage Pumped (gallons) Location of Septage Pumped Date Discharged Where Discharged* *Write in: the SLAS permit number if land applied, WWTP if taken to a treatment plant, the SDTF permit numberif put in storage tank. FACILITY COMPLIANCE INSPECTION REPORT Division of Waste Management Solid Waste Section Page 1 of 2 UNIT TYPE: Lined MSWLF LCID YW Transfer Compost SLAS COUNTY: "[Click and type name]" Closed MSWLF HHW White goods Incin T&P FIRM PERMIT NO.: "[Click and type #]" CDLF Tire T&P / Collection Tire Monofill Industrial Landfill DEMO SDTF FILE TYPE: COMPLIANCE Date of Site Inspection: "[ Click and type date ]" Date of Last Inspection: "[ Click and type date ]" FACILITY NAME AND ADDRESS: "[Click here and type name]" GPS COORDINATES: N: "[ Click and type latitude ]" E: "[ Click and type longitude ]" FACILITY CONTACT INFORMATION: Name: "[Click here and type name]" Address: "[Click here and type name]" Telephone: "[Click here and type number]" Email address: "[Click here and type name]" PARTICIPANTS: "[Click here and type name]" STATUS OF PERMIT: "[Click and type status]" EXPIRES: "[ Click and type date ]" PURPOSE OF SITE VISIT: "[Click here and type purpose]" STATUS OF PAST NOTED VIOLATIONS: "[Click here and type any comments]" OBSERVED VIOLATIONS: "[Click here and type any comments]" The item(s) listed above were observed by Section staff and require action on behalf of the facility in order to come into or maintain compliance with the Statutes, Rules, and/or other regulatory requirements applicable to this facility. Be advised that pursuant to N.C.G.S. 130A-22, an administrative penalty of up to $15,000 per day may be assessed for each violation of the Solid Waste Laws, Regulations, Conditions of a Permit, or Order under Article 9 of Chapter 130A of the N.C. General Statutes. Further, the facility and/or all responsible parties may also be subject to enforcement actions including penalties, injunction from operation of a solid waste management facility or a solid waste collection service and any such further relief as may be necessary to achieve compliance with the North Carolina Solid Waste Management Act and Rules. FACILITY COMPLIANCE INSPECTION REPORT Division of Waste Management Solid Waste Section Page 2 of 2 AREAS OF CONCERN AND COMMENTS: 1)"[Click here and type any comments]" Please contact me if you have any questions or concerns regarding this inspection report. Phone: . ____________________________ Division of Waste Management, NCDEQ Regional Representative Sent on: Email Hand delivery US Mail Certified No. [ _] WAKE PITT HYDE BLADEN DUPLIN PENDER WILKES UNION ROBESON SAMPSON BERTIE NASH MOORE HALIFAX COLUMBUS ONSLOW SWAIN WAYNE SURRYASHE ANSON JOHNSTON CHATHAMBURKERANDOLPH JONES MACON BRUNSWICK ROWAN HOKE GUILFORD HARNETT LEE BUNCOMBE STOKES STANLY LENOIR FRANKLIN WARREN GATES DARE MADISON PERSON WILSON BEAUFORT YADKIN DAVIE CATAWBA FORSYTH GASTONPOLK CLAY LINCOLN IREDELL MARTINDAVIDSON HAYWOOD JACKSON GRANVILLE CUMBERLAND ORANGE CASWELL CALDWELL RICHMOND TYRRELL ROCKINGHAM CHEROKEE RUTHERFORD CLEVELAND ALAMANCE EDGECOMBE MCDOWELL VANCE YANCEY MECKLENBURG AVERY NORTHAMPTON MONTGOMERYGRAHAM DURHAM PAMLICO CABARRUS HERTFORD WATAUGA GREENE CRAVEN HENDERSON SCOTLAND WASHINGTON CAMDEN TRANSYLVANIA MITCHELL ALEXANDER CARTERET ALLEGHANY CHOWAN PERQUIMANS PASQUOTANK CURRITUCK NEW HANOVER CHESTER COBBRaleigh Central Office (919) 707-8283 PERRY SUGG Environmental Compliance Branch HeadRaleigh Central Office(919) 707-8258 JARED WILSONRaleigh Central Office(919) 707-8298 NC DEQ - DWMSolid Waste Section - Septage Management Program rev. 11/28/2022 JEFFREY BULLARDRaleigh Central Office (919) 707-8285 STEPHANIE WILLIAMS Asheville Regional Office (828) 296-4701 DAVID COLEMANMecklenburg County Government (980) 314-3858 JOHN FARNELLWilmington Regional Office(910) 796-7397 Inspectors COBB BULLARD FARNELL WILLIAMS COLEMAN