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Home My WebLink AboutNCS01378_2021Permit_Initial 2021 Permit and Registration Royal Restrooms is hereby issued a Septage Management Firm Permit, Permit Number NCS-01378 And by virtue of completing the annual training requirements is hereby registered as a Portable Sanitation 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-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, 2021. __________________________________________________ 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-01378 Enter the five digits following the NCS # City Lumberton State / Province / Region North Carolina Postal / Zip Code 28360 Country USA Street Address 2353 Kenric dr Address Line 2 Robeson Yes No City Savannah State / Province / Region GA. Postal / Zip Code 31403 Country USA Street Address PO Box 22033 Address Line 2 866-652-3255 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 19,820 0 0 0 North Carolina counties of operation All NC. 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 ** 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)** 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 10/20/2020 Vice President Add vehicles individually Upload List Portable Toilet Waste SC P605857 1GC4KYC89FF147399 450 Portable Toilet Waste GA RNL0247 1GB3KYCY3JF253629 450 Portable Toilet Waste GA RDG0325 1GT42VC84GF188541 200 Portable Toilet Waste GA TS87B45 5MYEE1421KB063327 1,100 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No City of Lumberton WWTP 12/31/2020 SKM_C224e2010…328.27… Yes No Yes No 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 Print Name**Title** SDTF-36-14 8/15/2021 SKM_C224e2010…899.11… Yes No Septage Management Firm Operator Training Completed 9/11/2020 4 Morganton 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 VIN#5MYEE142KB063327 is a trailer 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. 10/20/2020 08:52:29 AM Ross Waters Vice President 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: 20092405455466 Payment Date: 09/24/2020 Posting Date: 09/24/2020 Billing Information: Ross V Waters 2011 Mills B Lane Blvd Savannah, GA 31403 9122284147 ross@royalrestroomscarolinas.com Payment Amount: 800.00 USD Account #: Routing #: Account Type: Checking Reference Information: NCS-01378-2021,31403,Royal Restrooms,PO Box 22033,Savannah,GA,NCS-01378,$800.00 Page 1 of 1 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/paymentreceipt.aspx 9/25/2020