NCS00934_2020Permit_Initial

May 27th, 2020 Rodney Side Environmental Relief Technology Inc. P O Box 208 Lewisville, NC Re: Permit to Operate a Septage Management Facility Firm Name NCS-00934 Dear Mr. Side
The Division of Waste Management, Solid Waste Section, has received your “Application for a Permit to Operate a Septage Management Facility” and payment in the amount of $200.00.
You are hereby issued a 2020 Permit to Operate a Septage Management Facility for the following facilities: Septage Detention or Treatment Facility, SDTF-34-02 This permit is valid from January 1, 2020 until December 31, 2020. If you have any questions or
need to make any changes to this permit, please feel free to contact Mr. Chester Cobb at 919-707-8283 or Mr. Jeffrey Bullard at 919-707-8285. Sincerely,
Adam Ulishney Environmental Compliance Branch Head
Solid Waste Section
cc: Inspector County Health Department
State of North Carolina
Environmental Quality
Waste Management
Non-Pumper Application for a Permit
to Operate a Septage Management
Facility
NON-PUMPER - $200 FEE PER FACILITY
Facility Name:**
Street address:**
Street address - City:**
Street address - State:**
Street address - Zip:**
Street address - County:**
Mailing address same as Street
address:**
Mailing address:**
Mailing address - City:**
Mailing address - State:**
Mailing address - Zip:**
Facility Owner's Name:**
Mailing address:**
Mailing address - City:**
Mailing address - State:**
Mailing address - Zip:**
Phone:**
Email:**
Facility Operator's Name:**
Mailing address:**
Mailing address - City:**
Mailing address - State:**
Mailing address - Zip:**
Phone:**
Email:
Facility
Environmental Relief Technology Inc
617 Waughtown Street, Building 350
Winston-Salem
NC
27107
Forsyth
Yes No
PO Box 208
Lewisville
NC
27023
Owner
Rodney Sides
3042 Panther Ridge Lane
Lewisville
NC
27023
704-904-0300
[e-mail]
Operator
Rodney Sides
3042 Panther Ridge Lane
Lewisville
NC
27023
704-904-0300
Type(s) of septage managed:**
Facility Types:
Provide the permit numbers for all that are applicable.
a. Septage Land Application Site
b. Boat Pump-Out Storage
c. Septage Storage Tanks
d. Septage Treatment
e. Grease Treatment
Septage Management firms using facility:
Provide name and permit number of all permitted septage management firms using facility.
Permit Number Firm Name
11
22
33
44
55
66
77
88
99
1010
1111
1212
1313
1414
1515
1616
1717
1818
Septage
(check all that apply)
Domestic Portable Toilet Waste Grease (restaurant)
Treatment Plant Industrial/Commercial
34-02
NCS 01162 A&D Environmental
NCS 00997 Affordable Septic & Grease
Pumping LLC
NCS 01138 B&M Septic Tank
NCS 01050 Better Choice Septic Tank
Pumping
NCS 00829 Bumgardner Septic Tank and
Grading
NCS 01093 Carolina Septic
NCS 01267 Donald Beck Jr Septic Tank
Service
NCS 00776 Forsyth Rooter Service, Inc.
NCS 01216 Greasecycle LLC
NCS 00512 Jetco Pumping Service
NCS 01275 JW Septic Service LLC
NCS 01353 McPherson's Septic Tank
Service Inc.
NCS 01369 MP Pumping LLC
NCS 00330 North State Pumping Service
NCS 00711 PD Quik
NCS 00310 Pee Wee's Septic Tank Cleaning
NCS 01068 Piedmont Disposal
NCS 01445 Pumping Brothers of the Triad
LLC
1919
2020
2121
2222
2323
2424
2525
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:
Date:
Title:
Email:**
NCS 01010 Pumpmasters
NCS 00830 Queen's Septic Tank
NCS 01427 Riddle Septic Solutions LLC
NCS 00052 Sprinkle Septic Tank Company
NCS 00641 Transou Forsyth Septic Tank
Pumping Service Inc
NCS 01172 Triad 24 LLC
NCS 00531 Ward Brothers LLC
Certification
(signature of company official required)
3/26/2020
owner
[e-mail]