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Home My WebLink AboutNCS01456_2021Permit_Initial 2021 Permit and Registration Fresh and Clean LLC, DBA Straight Flush Septic is hereby issued a Septage Management Firm Permit, Permit Number NCS-01456 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. Rocky River Regional WWTP, Concord 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, 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?** Phone**Fax Email** Firm owner's name** Mailing address same as street address of office?** Mailing Address** Phone**Fax Firm Info Straight Flush Septic The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01456 Enter the five digits following the NCS # City Winston Salem State / Province / Region NC Postal / Zip Code 27106 Country USA Street Address 1959 N Peace Haven Rd. Address Line 2 Suite 171 Forsyth Yes No 336-970-0502 info@straightflushseptic.com Owner Info David Welch Yes No City Winston-Salem State / Province / Region NC Postal / Zip Code 27106 Country United States Street Address 957 Kenleigh Cir Address Line 2 3367211494 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 there significant penalties for false certification including the possibility of fine and imprisonment." Signature Date** Title** Operator Info David Welch Manager Yes No City Winston Salem State / Province / Region NC Postal / Zip Code 27106 Country USA Street Address 957 Kenleigh Cir Address Line 2 336-970-0502 Type and amount of septage pumped in the last 12 months 711,000 0 0 0 0 North Carolina counties of operation Forsyth, Surry, Stokes, Davidson, Davie, Rowan, Cabarrus, Iredell, Mecklenburg, Yadkin Vehicle Info Yes No 10/29/2020 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)** Other disposal method** Manager Add vehicles individually Upload List Domestic Septage YA14617711H 1HTMMAAN2BH323656 2,000 Domestic Septage JK-2732 JALC4B14737013711 1,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Archie Elledge Wastwater Facility 12/31/2020 Authorization to Discharge WS Straight Flush.pdf 2.13MB Rocky RIver Regional Wastewater Treatment Plant 12/31/2020 Authorization to Discharge Rocky River Straight Flush.pdf 568.1KB McAlpine Creek Wastewater Treatment Plant 12/31/2020 McAlpine 2020 authorization to discharge.pdf 432.89… Yes No Yes No Yes No 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 9/12/2020 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 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. 10/29/2020 09:24:41 AM David Welch Manager PayPoint Payment Receipt Application: Solid Waste Merchant: NOENR-Solid Waste Merchant City/State: Raleigh, North Carolina Payment Status: Settled Result Message: Payment completed and settled successfully. Confirmation Number: 20102911044748 Payment Date: 10/29/2020 Posting Date: 10/29/2020 Billing Information: Fresh and Clean LLC dba Straight Flush Septic 1959 N Peace Haven Rd. Suite 171 Winston Salem, NC 27106 3369700502 info@straightflushseptic.com Payment Amount: 800.00 USO Account#: Routing#: Account Type: Checking Page 1 of 1 Reference Information: ncs-01456-2021,27106,Fresh and Clean LLC, OBA Straight Flush Septic,1959 N. Peace Haven Road, Suite 171, Winston Salem,NC,NCS-01456,$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/paymentreceipt.aspx 11/3/2020