HomeMy WebLinkAboutNCS01525_2020Permit_Initial 2020
Permit and Registration
Total Enviro
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01525
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. Big Buffalo WWTP, Sanford 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
APPLICATION FOR PERMIT TO OPERATE A SEPT AGE MANAGEMENT FIRM
DMSION OF WASTE MANAGEMENT. SOLID WASTE SECTION-16A6 MAIL SERVICE CENTER, RALBGH. NC 27699-,1646
(1.l Fitm name: {The "Fitm name" mustbe!!!§l!l as itis-show#onyourvehicle(s}.
°lD\O\ ES\:-1,rn ~c °I \.bs\R:
Street address of office: ~ &::se±u:: ::::t;o 00) \ ::3?:c\ .
City:/XJ[l\rfd state: OC " ZiJ_Ri......_.'1__.:)3_c_::-:J _____ _
Mailing address (If different): 7? l\. ~"'L. ~3
~·~d ~ State:\\.\c.., Zip: __ & ..... -·n ..... · -\ ...... 5 .... \ _____ _
Phone: (3 \5)7C:f-rCCflQ Fax: _________ _
E-Mail: tctoc:ro, t:C'r:'f?:K .@t yu,\ . c, , 1,::tP\-O\rn .... :.<Mr\!'3r:..J\c.,@
County: \ .f:f': SeptageManagementFinnpennitnumber. NCS#_ '\~\ u,rf't
c2.> Fimrownersname: :znc f:rr:tt: 01.'f 25
Mailing address (If different}: ----...,..._,.===--------
City: ________ ~_Slate: ___ Zip: ______ _
Phone: (9,'1).3f')lo . f:f\aC> . . Fax: __________ _
(3.) Fmn operator's name: Zee, ,;>x:icM:: Ann operators title: ~==""""""
Mamgaddress(lfmlferent): -------------:-====
City! __________ State: ___ Zip: ______ _
Phone: _________ Fax: __________ _
(4.) Type(s) of septage pumped: Write m the number of gallons pumesq in ~5 (Example: Domestic: 50,000).
I Portabe Toilet Waste j Grease (Restaurant) I TreatmentPfant I lndustrial/r.omml I
(5.) N.C. Counties of Operation~-=~---------------
tust each i:ounty yau do business fnl
·~ (6J Total Numberof Purl1]8l'V.ehicies Operated: __ .,....._ __
Number used for: Domestic Septage: i:9 Grease (restaurant~ !!!e!!!!!!!!!'!!'!!!!!!!!!!!.,,.,,.,.,. Other:_____ Portable Toilet Waste: __ _
Veticle Information: (use. addi1ionaf paper If needed)
"' 1 1 ~1--1-'~'--"'-"-<-L----t-=:='----'--"=..L.!.-'--'-"-'~==--.L.=..==-=-=----'-----t--'-'""""""'..£---------;
" 1-=2:__J-;:µ_J-¥'>-,.L=~-----J..::!!!1 =...t...!>,::!..!=""'-~"-=~=~---+~~::......_------.i a
4
5
APPLICATION CONTINUED ON PAGE p A I D
P.l\GI; 1 CL ;v.~ Jf,41. 0-'
DA~ .,/$ .. Ji I a'\ :
APPLICATION FOR PERMIT TO OPERA TE A SEPT AGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Septage Disposal Method: (check onej
•>=~~~=:~;d~S::~~~
b) Septage land Application Site {SI.AS) Pem1it Numbers: (use addiliona1 sheets if needed}
SI.AS#: ___ Expiration Date: . SL.AS#: ... _ ··--_ _ Expiration Date: ___ _
c) Septage Detention or Treatment Facility (SDTFJ Permit Nurnbera: {use additional sheets if needed)
SOTF#: ___ Expiration Date:.,.........,...,..,,.,.,,.,,,....,,,,,.,, SDTF#: """"""'"""""'.._Expiration Date: ___ _
(8.) Septage Management Firm Operator Training Completed: Hours:-.5_ Dat7: l} )1 t\ &;-)\9 Location::fo,'f"R•>h)\c, }.},,
Tr~mng Sponsored or Provided by: ...:.;~--·----G>.-..~--------------
(9.) Septage land Application Site Operator Training Completed: Date: _____ Location: ______ _ Hours:_
Training Sponsored or Provided by: ---------------------------,..
(10.} Registration type requested: CHECK ON&
Registered Portable Sanitation Fitm:
Registered Septage Management Rrm: Q_
Registered Portable Sanitatioo and Septage Management Finn:
Certification Statement
l certify that the information and representations in this application for a pennit 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 incotrect or inadequate infonnation thatmateriaffy affected the decision to is$ue the
permit and that there are criminal penalties for knowingly making a false statement, representation, or certffication,
Signafttre (Signatule of company official ,equired} Date
~~(~
Print Name c:f£ ct tfX'-'Y'Jf
01her Comments~
S:fSolld...Was1e:/ClAtSEPTAGE/f0RMS/2016Fflm~6
PAGE2
APPLICATION FOR PERMIT TO OPERA TE A SEPTA GE MANAGEMENT FIRM
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).
-\Dkc) \ F S'N \ rn ~c ="" ¼::-B:\t::
Street address of office: c,;;)\ef\ E~s:e+~ ·::=:.tx:-1 ,(\, \ Y:c\ .
City:..'.'.xw"\r:{ d State: ""' Z~:_\~&_]_)3 __ l_J~---
Mailing address (if different):Y l'l. ~ ffi:::>3
City: -5or£-5 c\ State: ~(.... Zip: ____ (\)....._' '7_"""""· :\~3 ....... )...__ __ _
Phone: f\\C\)7 Ll:::h.9::UCJ Fax: ___________ _
E-Mail: :h J\;n\lJ)\\ ,rreeµ·\K ' County: ) eE:::
@ CJ5Xi-\\ u-ca
Septage Management Firm permit number: NCS # __
(2.) Firm owner's name:_,Z=----o,,....,0_....._P ... ·:c .... ct:\:_.._. ________________ _
Mailing address (if different):
City: ____________ State: ___ Zip: _______ _
Phone: (f\\Oy,:fjlo 6960 Fax: __________ _
(3.) Firm operato~s name: ....,.Z!==,.a.;c.....,_=--'e: .... £ ......... cu\ .......... _______ 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 2015 (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease Restaurant Treatment Plant Industrial/Commercial
(5.) N.C. Counties of Operation: -=.__,..a.. _________________ _
{List each county you do business in)
(6.) Total Number of Pumper Vehides Operated:---~---
4
5
Number used for: Domestic Septage: <3 Grease (restaurant): ___ _
Other:_______ Portable Toilet Waste: __ _
Vehicle Information: (use additional paper if needed)
APPLICATION CONTINUED ON PAGE 2
PAGE1
I
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
{CONTINUED FROM PAGE 1)
(7.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: fv{ yes n no. If yes, submit Wastewater Treatment Authorization
for each plant, as indicated in Subparagraj5R .0833lCITT 4) 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: ___ _
(8.) Septage Management Firm Operator Training Completed:
Hours:5 Date: l\)}Ol &:,,S Location:·:fc),1-:s:\s:)l,\\e, \-iC',
Training Sponsored or Provided by: _oc;N ____ Q ________________ _
(9.) Septage Land Application Site Operator Training Completed:
Date: ______ Location: _______ _ Hours:
Training Sponsored or Provided by: ____________________ _
(10.) Registration type requested: CHECK ON&
Registered Portable Sanitation Firm:
Registered Septage Management Firm: D._
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.
~,~ l J-1tlw~
~re (Signature of company official required}
Print Name
Other Comments:
S:/Solid_ Waste:/CLNSEPT AGE/FORMS/2016 Firm Application/FirmPermitApplication2016
PAGE2
I
' .
PO Box3729
Sanford, NC 27331-3729
-----------CITY OF SANFORD
5327 Iron Furnace Rd.
Sanford, NC 27330
Scott Sikt:rky
Supcrinlcndcnt
WASTEWATER MANAGEMENT FACILITY
Fux; (919) 776-5037
Phone: ( 919) 775-8305
AUTHORIZATION TO DISCHARGE SEPT AGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
Division of Waste Management -Solid Waste Section
401 Oberlin Rd., Ste. 150, Raleigh, N.C. 27605
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, Scott Siletzky Big Buffalo Waste Water Treatment Plant
(Plant Operator and Name of Plant)
5327 Iron Furnace Rd. Sanford NC 27330
(Address)
(919)775-8305 do hereby authorize Zac Scott -----------------(Phone Number) (Owner/Operator of Septage Management Finn)
of _____________ ..:..;To::.:;ta:::..l=E:.:.:nvic:.:.·ro:;..:::.;Se:.cpc:.;tic::..;&:::..W=cas::.:;te::..;L=L=-=C~_.....:..:.NC::.:S:.e#c.__ __
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage __ x __ _, portable toilet waste -~x'---__ _,
grease septage (grease trap pumpings} ____ commercial/industrial septage ____ , from
Lee County • Onl y"
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
5327 Iron Furnace Road
(Location)
between the hours of _______ -=8=am=--"5=pm-'-'---"M=o=n=da""'y---F'""n=·d=ay.____ ___________ _
Reintroducing partially treated liquid into a grease trap is acceptable __ Yes L No
This authorization shall be valid until ------=D=e=ce=m=b=e.:...r 3=-1:..i..=20=2=0 ____________ _
(Usually December 31, Year) /
Signed /2,df ;.). ;iJ,-j-Date 19, I~/;~ _ __.....,__~=-........ (F-aa--.,~-=o~-r~,.~)-=+_---------1 I
Sworn to and subscribed before me this--'t .... h.........,i ('-'f:_,f'""'",e .... n±b.......,......,. ___ day of frcunbec I 20 i 9
§,,, L (!_,_ ~
(Notary f>Jic)
My Commission expires: 09 ~ 0 7 -2Q2)
Note: Falsification of this document by the septage management finn shall lead to pennit revocation.
I
• ' . t
Cobb, Chester
From:
Sent:
To:
Subject:
Attachments:
CAUTION:
, 1111, ,,
Good afternoon,
Scotti Womack < scotti@totalenvironmental19.com >
Tuesday, December 17, 2019 1:08 PM
Cobb, Chester
[External] New permit application
New permit paperwork TESW.pdf
I have attached the paperwork for a new septage management firm. Do I need to mail this and also what is the fee?
This is what was formerly known as Total Enviro & Septic, Inc and also Total Environmental, LLC. The company was sold
out again recently and we didn't want to pay the fee for only the last few weeks of 2019. We also need to get the new
lettering and numbers on the trucks as soon as possible so we can get the inspection done for the 2020 permit.
If you need anything else please let me know.
Thank you,
Scotti Womack
919-708-5056 office
919-897-6154 cell
1
Cobb. Chester
From:
Sent:
To:
Cc:
Subject:
Scotti
Wylie, Connie
Friday, November 22, 2019 9:10 AM
Scotti Womack
Cobb, Chester
RE: [External] Total Enviro Septic & Waste
Any permit signed during 2019 (such as if you did it now) would require the fee and would expire December 31, 2019
(which all existing firm permits will do). And then another fee is required for a 2020 firm permit -which then will expire
December 31, 2020. If it works for you" business wise" I would sugge st that the paperwork & fee be sent in (by mail)
with a note that a 2020 firm permit is what is needed (and what has transpired with the sale). And you may contact
Chester Cobb in the Raleigh Central office, 919-707-8283 as that is where the paperwork & fee will be processed. I have
copied Chester on this email to keep him in the loop for what is going on.
Connie
From: Scotti Womack [mailto:scotti@totalenvironmental19.com]
Sent: Thursday, November 21, 2019 2:15 PM
To: Wylie, Connie <connie.wylie@ncdenr.gov>
Subject: [External] Total Enviro Septic & Waste
CAUTION:
I ' I' \I
Connie,
Good afternoon. I am emailing you regarding Total Enviro Septic & Waste. The new owner Zac Scott came on
11/6 and took the training course. I need to do the paperwork for the new permit, ifwe do it now will it be
active for 1 year (such as December to December) or would a fee have to paid again in January?
Thank you,
Scotti Womack
919-708-5056 office
919-897-6154 cell
1
From:Wylie, Connie
To:Cobb, Chester
Subject:FW: [External] Truck inspection
Date:Monday, May 04, 2020 11:33:38 AM
Chester
Please see below – trying to clarify what the name on the application, permit & trucks should be
Connie
From: Total Enviro Septic [mailto:totalenviroseptic.nc@gmail.com]
Sent: Monday, May 4, 2020 11:27 AM
To: Wylie, Connie <connie.wylie@ncdenr.gov>
Subject: Re: [External] Truck inspection
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to report.spam@nc.gov
We are putting numbers on today. Our business name is “Total enviro septic and waste” butwe filled the sheet out as “total enviro” will that be a problem? Thanks On Mon, May 4, 2020 at 11:24 AM Wylie, Connie <connie.wylie@ncdenr.gov> wrote:
Have the trucks been lettered yet?
From: Total Enviro Septic [mailto:totalenviroseptic.nc@gmail.com]
Sent: Monday, May 4, 2020 9:59 AM
To: Wylie, Connie <connie.wylie@ncdenr.gov>
Subject: [External] Truck inspection
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as
an attachment to report.spam@nc.gov
Hi Connie!
I was wondering if you had some time in the next couple of weeks to set up an inspection onour trucks.
Thanks!
Zac Scott
(919) 356-8950