The URL can be used to link to this page

Home My WebLink AboutNCS01079_2020Permit_Initial 2020 Permit and Registration Dr. Pumper Septic Services is hereby issued a Septage Management Firm Permit, Permit Number NCS-01079 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. Greenville Utilities 2. Septage Detention or Treatment Facility: SDTF-25-08 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 Dr Pumper Septic Services The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-1079 Enter the five digits following the NCS # City Greenville State / Province / Region NC Postal / Zip Code 27858 Country US Street Address 236 Fairway Drive Address Line 2 Pitt Yes No City Grimesland State / Province / Region NC Postal / Zip Code 27837 Country us Street Address PO Box 461 Address Line 2 252-756-7867 Kortze1079@gmail.com Owner Info Jon Kortze Yes No 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 To ilet Waste Grease (Restaurant)Grease (R estaurant) Treatment PlantTreatment Plant Industrial/CommercialIndustrial/Co mmercial List each county you plan to do business in:** Do you plan to operate pumper vehicles?** "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 City Grimesland State / Province / Region NC Postal / Zip Code 27837 Country us Street Address PO Box 461 Address Line 2 252-756-7867 Operator Info Jon Kortze Yes No City grimesland State / Province / Region nc Postal / Zip Code 27837 Country us Street Address po box 461 Address Line 2 252-367-6378 Type and amount of septage pumped in the last 12 months 650,000 0 73,000 0 0 North Carolina counties of operation Pitt, Beaufort, Hyde, craven, greene, lenoir, edgecombe, washingtion Vehicle Info Yes No 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 ** If yes, list the facilities below and upload or submit by mail a copy of Wastewater Treatment Authorization for each plant as indicated in subparagraph .0833(c)(14) of the Septage Management Rules. Mail forms to: NC DEQ Division of Waste Management - Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 Wasterwater Treatment Facility Name*Expiration Date*Authorization 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** 12/31/2019 President Add vehicles individually Upload List Domestic Septage ya143389 1HTSDTVN1LH228780 2,500 Grease (restaurant)ya139081 1HTSCAAN9YH298872 2,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Greenville Utilities 12/31/2020 EPSON002.PDF 28.99KB Yes No Yes No SDTF-00912 12/31/2020 EPSON003.PDF 24.19KB SDTF-25-08 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** Yes No Septage Management Firm Operator Training Completed 4/10/2019 6 Washington Convention Center 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 12:51:37 AM Jon Kortze President 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: 19102849892384 Payment Date: 10/28/2019 Posting Date: 10/28/2019 Billing Information: Jon P Kortze PO Box 461 Grimesland, NC 27837 2527567867 Kortze1079@gmail.com Payment Amount: 800.00 USD Page 1 of 1 Account Type: Checking Reference Information: NCS-01079-2020,27837,Dr. Pumper Septic Services,PO Box 461,Grimesland,NC,NCS-01079,$800.00 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 10/29/2019