NCS01406_2020Permit_Initial

2020
Permit and Registration
Buy Rite of Oxford
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01406
And by virtue of completing the annual training
requirements is hereby registered as a 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.Material removed from an interior point-of-use grease interceptor is treated to remove any free liquids, bagged, and placed into a dumpster. Solid Waste Management Rule15A NCAC 13B .1626(9)(c)(i) defines “free liquids” as determined by Method 9095 (Paint Filter Liquids Test) S. W. 846.
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
APPLICATION FOR PERMIT TO OPERA TE A SEPT AGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT -SOLID WASTE SECTION -1646 MAIi,. SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: {The "Firm name" must be exactly as it is shown on your vehicle(s)).
'l)IAy E<ctP of-.. tXfa.,.,9
Street address of office: 6 { ( � c ,Y Ji W" f., ) '
City: C X:fc1 V l State: t,.I C Zip: ? ··-yr 65:
Mailing address (if different): ___________________ _
City: ____________ State: ___ Zip: _______ _
Phone: ___________ Fax: ____________ _
E-Mail: _________________________ _
County: __________ Septage Management Firm permit number: NCS # 0 It/Ob
(2.) Firm owner's name: /Ji };d 4 \ n t?--.S, v-A I 5 d ;
Mailing address (if different):
City: ____________ State: ___ Zip: _______ _
Phone: ___________ Fax: _____________ _
(3.) Firm operator's name: G b ci \.1\ V\ M , v-Oi I <-.,M,, I 1' Firm operator's title: C) W'(\ er-
Mailing address (if different): ___________________ _
City: ____________ State: ___ Zip: _______ _
Phone: Fax: ------------------------
(4.) Type(s) of septage pumped: Write in the number of gallons pumped in last 12 Months (Example: Domestic:50,000).
Domestic Portable Toilet Waste Grease Restaurant Treatment Plant Industrial/Commercial
(5.) N.C. Counties of Operation: ----'C:1--,'r...,_C_,0,�n ..... v....,_',_\ \..:....e.;;....__ __________ _
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: _____ _
2 3
4
5
Number used for: Domestic Septage:____ Grease (restaurant): ___ _Other._______ Portable Toilet Waste: __ _Vehicle Information: (use additional paper if needed)
License Tag #Vehicle Identification #Tank Capacity
APPLICATION CONTINUED ON PAGE 2
[phone] [e-mail]
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Online restaurant training
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