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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 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 11/18/2019