NCS00106_2020Permit_Initial

2020
Permit and Registration
Brinson & Miller Inc.
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00106
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation &
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.Septage Detention or Treatment Facility, SDTF-70-01 2.Elizabeth City WWTP, Elizabeth City NC
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
PAGE1
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Septage Disposal Method: (check one)
a)Approved wastewater treatment plant: ( � ( ) no. If yes, submit Wastewater Treatment Authorization
for each plant, as indicated in Subparagraph .0833(c)(14) of the Septage Management Rules.
b)Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)SLAS#: ___ Expiration Date:____ SLAS#: ___ Expiration Date: ___ _
c)Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use addltional sheets if needed)SDTF#: ____ Expiration Date:____ SDTF#: ____ Expiration Date: ___ _
(10.) Registration type requested: CHECK ONE Registered Portable Sanitation Firm: __ Registered Septage Management Firm: __
Registered Portable Sanitation and Septage Management Firm: _
Certification Statement
Hours:_3_
Ii certify that the information and representations in this application for a permit are true, complete, and accurate tothe 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.
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/Signature(Signature of company official required)
I &l-tc£ ER ,µso� Print Name 4
Other Comments:
Title
S:/Solid_ WasteJCL.NSEPT AGE/FORMS/2018 Firm Application/FinnPemiitApplication2018
PAGE2
X Jrb 8/5/2020
70-01 03/10/2021
Jrb 8/5/2020