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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 Page 1 of 1 Disclaimer·: No convenience fee is charged for using the eCheck payment method. However, a processing fee of $25.00 or 10% of the amount of the eCheck, whichever is greater, will be charged for an eCheck returned due to insufficient funds. Payments are null and void if payment is made with an eCheck that is returned unpaid by the bank. https:// admin. thepayplace.com/ epayadmin/paymentreceipt.aspx 1/2/2020