HomeMy WebLinkAboutNCS01343_2020Permit_Initial2020
Permit and Registration
Hardin Rentals
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01343
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation 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. Town of Spindale WWTP
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 #)**
Fax
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
Hardin Rentals
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01343
Enter the five digits following the NCS #
State / Province / Region
NC
Country
United States
Street address of office**
Street Address
365 OAK STREET EXT
Address Line 2
City
FOREST CITY
Postal / Zip Code
28043
County **
Rutherford
Mailing address same as street address of office? **
Yes No
Phone**
8282867871
Email**chuck.hardin@gmail.com
Owner Info
Charles Hardin
Yes No
8282867871
Operator Info
Josh Icenhour Manager
Yes No
8283052508
----------------------
__________________
Josh Icenhour is no longer
employed by Hardin Rentals
JRB 6/17/2020
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?**
"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
0
0
0
0
0
North Carolina counties of operation
Rutherford, CLeveland, Polk
Vehicle Info
Yes No
1/8/2020
Manager
Add vehicles
individually
Upload List
Portable Toilet Waste fc2513 1fdxf47p64ea50378 200
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)**
Other disposal method**
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Spindale Waste Water Treatment 12/31/2020
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
9/14/2019 4
Asheville Buncombe Tech C. College
NC Pumper Group & NC Portable Toilet Group
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.
Date
Print Name**Title**
1/8/2020
01:57:34 AM
Josh Icenhour Manager
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality Division of Waste Management -Solid Waste Section 1646 Mail Service Center, Raleigh, NC 27699-1646
Fee assessments and waste determinations will be required at the discretion of the wastewater treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming wastewater stream.
I, Gvv c,'C0rino'('o/ 'i''J'J�L foe,...') «of Sf,'r-. dcle..
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
.]�/ e, ... lo;-7 s-lr.e��, s-1.:.) .. ,,l-c Jl,..-c.... ;7�/(0
(Address)
8)ff. J?t -)ye, 7 do hereby authorize ____________________ _
of
(Phone Number)
H-w d ; (\ JS-e. 0-\--0,j � _
(Owner/Operator of Septage Management Firm)
NCS # (1 I'S<...( S (Septage Management Firm Name and NCS number)
to dispose of: domestic septage � portable toilet waste ----�'--LL..,.._ __ _,
grease septage (grease trap pumpings) ____ commercial/industrial septage ____ _, from
(County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at:
Tl, e .;:-,. fl v-.. I-J,-s f-.,:i-f ,.._ ,6 ... .>.. ,-.. ,, � /I.,,./-
(Location) between the hours of __ 0_7_� __ -_"_S"_tl_...,._-'-/1-'-_-_r_�/>:....:"_:4_�_1_,_· J_,...L�-J--'f-'---_i-..._•_e_�_,,...-= ... :....�=---J---
Reintroducing partially treated liquid into a grease trap is acceptable __ Yes � No
This authorization shall be valid until --='....:2:..../:......:...J_, _/_.."l_v_.2_v _______________ _
Signed�-------(Facility Operator)
t
(Usually December 31, Year)
Date. __ ,_/_e_)_;i..._/4_\..<,. __
@--day of 2i:u� . 20 cM
My Commission expires: ���,.4,, "\ 'A 1,, .... <-\'< • '"f/:". , , .. �"' ·········· �o', .. , .. -� •• • •• ::..'I-:. �,::::.� •• • �r.,. "" : S :'{0,FFICIAh"'SFA�<:> �
: ""' : \_"-I v"'. : :.= : � .. -�-: . : : :P : p� . . " : (.) = �c::-·· i:.Jt:H---:..,._.: � � ·. .· � �
Note: Falsification of this document by the septage management firm shall lead to��t��OGat��-<:'-�,.$
S:/Solid Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018 ,,,, 0RO CO ,..-,' -,,,,,,.,..,,,,,
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: 19111553159534
Payment Date: 11/15/2019
Posting Date: 11/15/2019
BIiiing Information: HARDIN EXPRESS. INC PO BOX 1001 FOREST CITY, NC 28043 8282867871 AP.HARDINEXPRESS@GMAIL.COM
Payment Amount: 550.00 USO
Account Type: Checking
Reference Information: NCS-01343-2020,28043,Hardin Rentals,PO Box 1001,Forest Clty,NC,NCS-01343,$550.00
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