The URL can be used to link to this page

Home My WebLink AboutNCS01470_2020Permit_Initial 2020 Permit and Registration Royal Restrooms (Gastonia) is hereby issued a Septage Management Firm Permit, Permit Number NCS-01470 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. McAlpine Creek WWTP, Charlotte NC 2. Septage Detention or Treatment Facility, SDTF-36-14 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 ROYAL RESTROOMS The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01470 Enter the five digits following the NCS # City GASTONIA State / Province / Region NORTH CAROLINA Postal / Zip Code 28052 Country USA Street Address 875 W MAIN AVE. Address Line 2 Gaston Yes No City SAVANNAH State / Province / Region GA Postal / Zip Code 31403 Country USA Street Address P.O. BOX 22033 Address Line 2 912-228-4147 803-832-7611 ROSS@ROYALRESTROOMSCAROLINAS.COM Owner Info EMERSON WATERS 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 SAVANNAH State / Province / Region GA Postal / Zip Code 31403 Country USA Street Address P.O. BOX 22033 Address Line 2 912-228-4181 803-832-7611 Operator Info ROSS WATERS VICE PRESIDENT Yes No City SAVANNAH State / Province / Region GA Postal / Zip Code 31403 Country USA Street Address P.O. BOX 22033 Address Line 2 912-228-4147 803-832-7611 Type and amount of septage pumped in the last 12 months 0 72,000 0 0 0 North Carolina counties of operation ALL COUNTIES 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 ** 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** 10/21/2019 VICE PRESIDENT Add vehicles individually Upload List Portable Toilet Waste SC: P606265 1GC4KYC81FF164472 450 Portable Toilet Waste GA: RPG8568 1GB3KYCY5JF270755 450 Portable Toilet Waste GA: EML611 1GC4KYCY8HF217655 200 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Yes No Yes No SDTF-36-14 12/31/2019 NC Permit to operate Septage Detention Facility - Gastonia Holding Tank.pdf 312.81… Yes No Septage Management Firm Operator Training Completed 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** 3/6/2019 4 RALEIGH 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. 10/21/2019 11:52:39 AM ROSS WATERS VICE PRESIDENT 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: 19102148737000 Payment Date: 10/21/2019 Posting Date: 10/21/2019 Billing Information: MARLA BILES P.O. BOX 22033 SAVANNAH, GA 31403 9122284147 dyana@royalrestroomscarolinas.com Payment Amount: 800.00 USD Card Type: VISA Method: Not Present Page 1 of 1 Reference Information: NCS-01470-2020,28052,Royal Restrooms,875 West Main Ave.,Gastonia,NC,NCS-01470,$800.00 Disclaimer: A convenience fee is charged by a third-party provider fo'r all oniine 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 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 10/22/2019