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HomeMy WebLinkAboutNCS01083_2020Permit_Initial 2020 Permit and Registration 1st Choice Septic is hereby issued a Septage Management Firm Permit, Permit Number NCS-01083 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. McAlpine Creek WWTP, Charlotte NC 2. First Broad River WWTP, Shelby NC 3. Old Brookford Plant, Hickory NC 4. Septage Land Application Site SLAS-12-03 5. Septage Detention or Treatment Facilities SDTF-12-03, SDTF-34-06, SDTF-36-15, SDTF-55-04 & SDTF-60-09 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 1ST CHOICE SEPTIC The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01083 Enter the five digits following the NCS # City CHERRYVILLE State / Province / Region NC Postal / Zip Code 28021 Country US Street Address 3661 EAKER RD Address Line 2 Lincoln Yes No 704-447-5500 info@1stchoiceservicenc.com Owner Info JONATHAN WATTS Yes No 704-913-7685 Operator Info JONATHAN WATTS PRESIDENT Yes No 704-913-785 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* Type and amount of septage pumped in the last 12 months 1,184,500 75 346,900 1 1 North Carolina counties of operation LINCOLN, GASTON, BURKE, CLEVELAND, CATAWBA, ALEXANDER, MECKLENBURG, UNION, CABARRUS, RUTHERFORD, ROWAN, IREDELL Vehicle Info Yes No 12/30/2019 12/17/2019 Add vehicles individually Upload List Domestic Septage MA4154 1FUYDECB6LH371325 4,000 Domestic Septage MX1382 1FUBYCBS1B0B49731 4,000 Grease (restaurant)NC6093 ALCHYFE8JDJZ8939 4,000 Grease (restaurant)NC5376 1ATWGAAT66F239336 4,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. 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. 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)** If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #*Expiration Date*Authorization 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** Yes No CHARLOTTE WATER 12/31/2020 clt water.pdf 45.24KB FIRST BROAD RIVER 12/31/2020 shelby.pdf 48.01KB OLD BROOKFORD PLANT 12/31/2020 hickory.pdf 50.01KB Yes No SLAS-12-03 12/31/2020 reagan land app.pdf 29.74KB Yes No SDTF-55-04 12/31/2020 fcs.pdf 27.36KB SDTF-34-06 12/31/2020 LIQUID ENVIRO.pdf 36.09KB SDTF-12-03 12/31/2020 reagan sdtf.pdf 34.25KB SDTF-36-15 12/31/2020 EARTH FARMS.pdf 36.75KB Yes No SDTF-60-09 12/31/2020 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** Septage Management Firm Operator Training Completed 10/17/2019 12 NC STATE - RALEIGH, NC NC Septic Tank Association 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. 12/17/2019 11:46:23 AM Erin Watts VP 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: 19122460078838 Payment Date: 12/24/2019 Posting Date: 12/24/2019 Billing Information: 1st Choice Service Inc. 3661 EAKER RD CHERRYVILLE, NC 28021 7044475500 info@lstchoiceservicenc.com Payment Amount: 800.00 USD Page 1 of 1 Account Type: Checking Reference Information: NCS-01083-2020,28021,lst Choice Septic,3661 Eaker Road,Cherryville,NC,NCS-01083,$800.00 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/oavmentreceiot.asox 12/27/2019