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Home My WebLink AboutNCS01476_2020Permit_Initial2020 Permit and Registration Elegant Johns is hereby issued a Septage Management Firm Permit, Permit Number NCS-01476 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 Siler City 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 #)** 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?** Mailing Address** Phone**Fax Firm Info Elegant Johns The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01476 Enter the five digits following the NCS # City Chapel Hill State / Province / Region North Carolina Postal / Zip Code 27517 Country usa Street Address 1224 Old Lystra Road Address Line 2 Orange Yes No 5168859226 david@elegantjohns.com Owner Info DAVID SCHWARTZ Yes No City CHAPEL HILL State / Province / Region nc Postal / Zip Code 27517 Country United States Street Address 77016 Miller Address Line 2 5168859226 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?** 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 Operator Info David schwartz owner Yes No City CHAPEL HILL State / Province / Region nc Postal / Zip Code 27517 Country usa Street Address 77016 miller Address Line 2 5168859226 Type and amount of septage pumped in the last 12 months 0 0 0 0 0 North Carolina counties of operation Orange, Chatham, Durham, Wake and Alamance Vehicle Info Yes No Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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 Date Town Of Siler City 12/31/2020 septage.2020.…481.19… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 12/7/2019 4 raleigh, nc 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 All Trailers are pumped by permitted septage firm. 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. 4/7/2020 X Print Name**Title** 4/7/2020 10:23:41 AM DAVID SCHWARTZ Owner 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: 20040777973800 Payment Date: 04/07/2020 Posting Date: 04/07/2020 Billing Information: david schwartz 77016 miller chapel hill, NC 27517 5168859226 david@elegantjohns.com Payment Amount: 550.00 USD Card Type: VISA Method: Not Present Reference Information: ncs-01476-2020,27713,Elegant Johns,8913 NC Highway 751,Durham,NC,NCS-01476,$550.00 Page 1 of 1 Disclaimer: A convenience fee is charged by a third-party provider for all onllne 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 4/8/2020 Late fee paid 08/28/2020 JRB