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