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HomeMy WebLinkAboutNCS01427_2020Permit_Initial2020 Permit and Registration Riddle Septic Solutions, LLC is hereby issued a Septage Management Firm Permit, Permit Number NCS-01427 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.Archie Elledge WWTP, Winston Salem NC 2.Mt Airy WWTP 3.Septage Detention or Treatment Facility, SDTF-34-02 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?** Phone**Fax Email** Firm owner's name** Mailing address same as street address of office?** Phone**Fax Firm operator's name**Firm operator's title Mailing address same as street address of office?** Phone**Fax Firm Info Riddle Septic Solutions, LLC The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01427 Enter the five digits following the NCS # City Walnut Cove State / Province / Region NORTH CAROLINA Postal / Zip Code 27052 Country United States Street Address 688 FOWLER RD Address Line 2 Stokes Yes No 3367095014 Riddlesepticsolutions@gmail.com Owner Info scott Riddle Yes No 3367095014 Operator Info scott Riddle Yes No 3367095014 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 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. Type and amount of septage pumped in the last 12 months 750,000 0 40,000 10,000 0 North Carolina counties of operation Stokes, Surry, Forsyth, Guilford, Davie, Davidson, Rockingham, Yadkin, Vehicle Info Yes No 1/4/2020 Owner Add vehicles individually Upload List Domestic Septage NC-Ya141872 1htsdaan3yh267193 2,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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** Date**Hours** Location** Training Sponsored or Provided by** Date Hours Location Training Sponsored or Provided by Select one** City Of Mount Airy 12/31/2020 Scan_20200103 (2).pdf 3.03MB Archie Elledge Wastewater Facility 12/31/2020 Scan_20200103 (4).pdf 3.67MB Yes No Yes No SDTF-34-02 12/31/2020 Scan_20200103 (3).pdf 3.65MB Yes No Septage Management Firm Operator Training Completed 9/14/2019 4 Asheville NC Pumper Group & NC Portable Toilet Group Septage Land Application Site Operator Training Completed 0 Registration Type Comments or notes Signature Date Print Name**Title** 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. 1/4/2020 12:10:37 AM scott Riddle Owner PayPoint Payment Receipt Application: Solid Waste Credit Merchant: NDENR-Solid Waste Credit Merchant City/State: Raleigh, North Carolina Merchant Location Code: 00001 Payment Status: Settled Result Message: Payment completed and settled successfully. Confirmation Number: 20010461877051 Payment Date: 01/04/2020 Posting Date: 01/04/2020 Billing Information: Scott Riddle 688 FOWLER RD Walnut Cove, NC 27052 3367095014 Riddlesepticsolutions@gmail.com Payment Amount: 550.00 USO Card Type: VISA Method: Not Present R.eference Information: NCS-01427-2020,27052,Rlddle Septic Solutions, LLC,688 Fowler Road,Walnut Cove,NC,NCS-01427 ,$550.00 Page 1 of 1 Pisclaimer: A convenience fee is charged by a third-party provider for all online payments made by a credit or debit card. DEQ does not receive any portion of these fees associated with this service. The fee is currently 2.65% of the amount paid on all credit and debit card transactions, except for VISA debit, which has a flat fee of $3.95 per transaction. Your card wi!I not be charged until after you have accepted the convenience fee amount. If you choose not to pay the fee, you may cancel the transaction and pay by another method. If you accept the convenience fee and elect to continue, your credit card statement will show two charges -one for the amount due to DEQ, and one for the convenience fee. The convenience fee is not refundable. https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 1/6/2020 PayPoint Payment Receipt Application: Solid Waste Credit Merchant: NDENR-Solid Waste Credit Merchant City/State: Raleigh, North Carolina Merchant Location Code: 00001 Payment Status: Success Result Mes■age: Success Confirmation Number: 20051985002476 Payment Date: 05/19/2020 Posting Date: 05/19/2020 Billing Information: Andrew S Riddle 688 FOWLER RD Walnut Cove, NC 27052 3367095014 Riddlesepticsolutions@gmail.com Payment Amount: 250.00 USD Card Type: VISA Method: Not Present Page 1 of 1 Reference Information: NCS-01427-2020-2,27052,Riddle Septic Solutions, LLC,688 Fowler Road,Walnut Cove,NC,NCS-01427,$250.00 Disclaimer: A convenience fee is charged by a third-party provider for all online payments made by a credit or debit card. DEQ does not receive any portion of these fees associated with this service. The fee is currently 2.65% of the amount paid on all credit and debit card transactions, except for VISA debit, which has a flat fee of $3.95 per transaction. Your card will not be charged until aher you have accepted the convenience fee amount. If you choose not to pay the fee, you may cancel the transaction and pay by another method. If you accept the convenience fee and elect to continue, your credit card statement will show two charges -one for the amount due to DEQ, and one for the convenience fee. The convenience fee is not refundable . • https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 5/20/2020