NCS00242_2020Permit_Initial

2020
Permit and Registration
C. S. Hines, Inc.
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00242
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.Septage Land Application Site, SLAS-15-04
2.Septage Detention or Treatment Facility, SDTF-27-20
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 OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT. SOLID WASTE SECTION - 1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firq name: (Ihe "Firm name" must be exaclyas it is shown on your vehicle(s)).
Street address of office:C t r c.-+o
state: [)( zip:
Mailing address (if different)3 A crr€-
State: Zip:
Phone: L)Oa) \ 35 - 7 bbbu*
E-Mail:
County: L U Septage Mariagement Firm permit number: 11gg g ODa,q a
(2.) Firm owner's nur., G [0 n n-^, * t'ctz \
Mailing gddress (if differentl, -2. I n 2 Cc^ r a. ! Oke l-l c--r - l
citv: C-Lrr r-r \'u; r L state: [\ C. zip. J ] ct F I
Phone:
(3.) Firm operato/s nsms' (--Firm operator'.1i11s; Out]ff A f
Mailing address (if different):
City:State:_ Zip:
Fax:
City:
Phone:
(a.) Type(s) of septage pumped: Write in the number of sallons pumped in last 12 Months (Example: Domestic:
50,000).
Domestic Portable Toilet Waste Grease (Restaurant)Treatment Plant I nd ustrial/Commercial
(s.) ry Counties of Operation:
(-
county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated:
Number used for: Domestic Septage:_Other:_
Vehicle lnformation: (use additional paper if needed)
Grease (restaurant):
Portable Toilet Waste:
License Taq #Vehicle ldentification #Tank Capacitv
1 tl\ L i ^t4a Dv B I nd-\ rAG\ \O nn b\<^b 4lu"
2 cnc- -2q5q NL rN Ps\ 6bx-\a\ail(9 I nr qaoo
J oa t3aPvA IN \DCXPL XYSD 4q5I*q qajD
4
5
APPLICATION CONTINUED ON PAGE 2
Itc
City:
PAGE 1
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CoNTTNUED FROM PAGE 1)
(7.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( "lrt ( ) no. lf yes, submit Wastewater Treatment Authorization
for each plant, as indicated in Subparagraph .0833(c)(14) of the Septage Management Rules.
b) Septage Land Appliqation Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#:\5_D.\ExpirationDate:-SLAS#:ExpirationDate:
c) Septage D-etentionpr Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
Septage Management Firmlperator Traininq Completed:'oite:
="A )4\ rocitipL-Llp (+Hours:
(-\
n- lc-(8.)
(e.)
Training Sponsoied or Provided by:
Septage Land {pplication Site Operator Training
Date: ')\nC Locatio
t,.aininf,$6itiffiffiided by: -L\-
Signature (signature of company official required)
G,-i,o,n-^., *i ^rgPrint Name
Other Comments:
S/Solid_WaSteJCLIVSEPTAGE/F0RIt/S/201 8 Firm Appllcation/FirmPermltApplication20l B
QtiLotaD
M
CU)le ,, I D,? r, t c lC fTitle / v
XC Hor,.r' 3.O(
(10.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm. _ .,
Registered Septage Management Fnm'. \t/
Registered Portable Sanitation and Septage Management 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.
PAGE 2
No authorization to discharge submitted JRB 12/31/2020
FACILITY COMPLIANCE INSPECTION REPORT
Division of Waste Management
Solid Waste Section

Page 1 of 2

UNIT TYPE:
Lined MSWLF LCID YW Transfer Compost SLAS COUNTY: Currituck
Closed MSWLF HHW White goods Incin T&P FIRM X PERMIT NO.: NCS-00242
CDLF Tire T&P / Collection Tire Monofill Industrial Landfill DEMO SDTF FILE TYPE: COMPLIANCE

Date of Site Inspection:12/4/2020 Date of Last Inspection N/A

FACILITY NAME AND ADDRESS:
C.S.Hines, Inc
3152 Caratoke Hwy
Currituck NC 27929
GPS COORDINATES: N: E:
FACILITY CONTACT INFORMATION: Name: Glenn. Hines Address: Same as above Telephone: [phone]
Email address: [e-mail]

PARTICIPANTS: Jeffrey Bullard DWM, STATUS OF PERMIT: Pending EXPIRES:
PURPOSE OF SITE VISIT Firm moved Chesapeake to Currituck, change required on truck lettering. STATUS OF PAST NOTED VIOLATIONS:
NA

OBSERVED VIOLATIONS:
All lettering indicating town name did not meet height requirements of the rule below.

15A NCAC 13B .0835(b) All permitted septage management firms shall display lettering on each side of
every pumper vehicle operated by the firm. The lettering shall include the firm name, town name, phone
number, and septage management firm permit number as shown on the firm application. All lettering
required by this Rule on the pumper vehicle shall be no less than three inches in height and legible,
distinguishable from the background, and not obstructed from view. Identification shall not be removable
(i.e. no magnetic signs).
The item(s) listed above were observed by Section staff and require action on behalf of the facility in order to come into or maintain compliance with the Statutes, Rules, and/or other regulatory requirements applicable to this facility. Be advised that pursuant to N.C.G.S. 130A-22, an administrative penalty of up to $15,000 per day may be assessed for each violation of the Solid Waste Laws, Regulations, Conditions of a Permit, or Order under Article 9 of Chapter 130A of the N.C. General Statutes. Further, the facility and/or all responsible parties may also be subject to enforcement actions including penalties, injunction from operation of a solid waste management facility or a solid waste collection service and any such further relief as may be necessary to achieve compliance with the North Carolina Solid Waste Management Act and Rules.

FACILITY COMPLIANCE INSPECTION REPORT
Division of Waste Management
Solid Waste Section

Page 2 of 2

ADDITIONAL COMMENTS
TRUCK LICENSE PLATE # VIN # TANK CAPACITY (gal)
(VA plate) P114670 1M2AG11CM045262 4100
(VA plate) 67-132 P 1NPCXPEX7JD495629 4200
1) All lettering indicating firm name, town name, phone number, and septage management firm permit number
were permanently attached to each side of each truck and were plainly visible. Parts of lettering indicating town name did not meet height requirements please see the observed violations on page 1. 2) The tanks are constructed of metal, appeared to be structurally sound and was affixed to the truck frame with permanent fixtures (bolts). 3) The septage drain valves appeared to be in working order. No septage leaks were observed. 4) All port covers and caps where in place and appeared to be in proper working order. 5) Pump logs where not checked

Please contact me if you have any questions or concerns regarding this inspection report.

____________________________________________ Phone: [phone] . Jeffrey Bullard, Environmental Specialist II Division of Waste Management, NCDEQ Regional Representative
Sent on: 12/31/2020 Email X Hand delivery US Mail Certified No. [ _]