HomeMy WebLinkAboutNCS01349_2020Permit_Initial 2020
Permit and Registration
HERR, Inc.
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01349
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. Robeson County Grease Landfill, St. Pauls NC 2. Septage Detention or Treatment Facility, SDTF-34-06, SDTF-60-09 & SDTF-26-05
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
Hazmat Emergency Response and Remediation, Inc.
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01349
Enter the five digits following the NCS #
City
Whiteville
State / Province / Region
North Carolina
Postal / Zip Code
28472
Country
United States
Street Address
303 South Maultsby Street
Address Line 2
PO Box 2345
Columbus
Yes No
City
Whiteville
State / Province / Region
North Carolina
Postal / Zip Code
28472
Country
United States
Street Address
303 South Maultsby Street
Address Line 2
PO Box 2345
9106402607 910-640-2609
mike@herrteam.com
Owner Info
Marc Cox
Yes No
(HERR, Inc.)
Phone**Fax
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
Mailing address**
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?**
City
Whiteville
State / Province / Region
North Carolina
Postal / Zip Code
28472
Country
United States
Street Address
303 South Maultsby Street
Address Line 2
PO Box 2345
9106402607 910-640-2609
Operator Info
Michael Stoneman Manager
Yes No
City
Whiteville
State / Province / Region
North Carolina
Postal / Zip Code
28472
Country
United States
Street Address
303 South Maultsby Street
Address Line 2
PO Box 2345
9106402607 910-640-2609
Type and amount of septage pumped in the last 12 months
0
0
0
0
500
North Carolina counties of operation
Columbus, Bladen, New Hanover, Brunswick, Cumberland, Guilford, Davidson,
Iredell, Randolph, Forsyth
Vehicle Info
Yes No
"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*
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**
Description*Authorization
12/31/2019
Manager
Add vehicles
individually
Upload List
Other MH1809 1FVHBXC5X3H594825 2,800
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-34-05 12/27/2020 Scan_0046.pdf 272.19…
SDTF-60-09 12/27/2020 Scan_0046.pdf 272.19…
SDTF-26-05 12/27/2020 Scan_0046.pdf 272.19…
Yes No
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Print Name**Title**
Landfill Robeson
County -
Grease Trap
Acceptance
Letter.pdf
144.06…
Septage Management Firm Operator Training Completed
9/11/2019 4
NCSTA - Shallotte, NC
NC Septic Tank Association
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 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.
12/31/2019
02:20:25 PM
Michael Stoneman mike@herrteam.com
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: 19123161133499
Payment Date: 12/31/2019
Posting Date: 12/31/2019
Billing Information: HERR, Inc. 303 S Maultsby St Whiteville, NC 28472 9106402607 ryan@herrteam.com
Payment Amount: 800.00 USD
Account Type: Checking
Reference Information: NCS-01349-2020,28472,HERR, Inc,303 S Maultsby St,Whiteville,NC,NCS-01349,$800.00
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https:// admin. thepayplace.com/ epayadmin/paymentreceipt.aspx 1/2/2020