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Home My WebLink AboutNCS00016_2021Permit_Initial 2021 Permit and Registration A Sani-Can is hereby issued a Septage Management Firm Permit, Permit Number NCS-00016 And by virtue of completing the annual training requirements is hereby registered as a Portable Sanitation & 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. Clark Creek WWTP, Newton NC 2. McAlpine Creek WWTP, Charlotte NC 3. Rocky River Regional WWTP, Concord NC 4. Old Brookford WWTP, Hickory NC 5. Septage Detention or Treatment Facility, SDTF-55-20 6. Septage Land Application Site, SLAS-18-01 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?** Phone**Fax Firm operator's name**Firm operator's title Mailing address same as street address of office?** Phone**Fax Firm Info A Sani-Can The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00016 Enter the five digits following the NCS # City Denver State / Province / Region NC Postal / Zip Code 28037 Country United States Street Address 8151 Webbs Road Address Line 2 Lincoln Yes No 7044835641 7044838481 neeley@asanican.com Owner Info Gary & Virginia Dellinger Yes No 7044835641 7044838481 Operator Info Gary Dellinger Secertary Yes No 7044835641 7044838481 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** Choose how to add vehicle descriptions** Upload vehicle list** 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: Type and amount of septage pumped in the last 12 months 377,701 728,634 271,447 0 0 North Carolina counties of operation Lincoln, Catawba, Iredell, Cleveland, Union, Stanley, Gaston, Cabarrus, Burke, Wilkes, Mecklenburg Vehicle Info Yes No 11/6/2020 Treasurer Add vehicles individually Upload List You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag #, Vehicle Identification #, and Tank Capacity. 2021 Denver Trucks.pdf 66.53KB Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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)** If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #*Expiration Date*Authorization 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 Other disposal method** Date**Hours** Location** Training Sponsored or Provided by** Date Hours City of Newton Clark Creek 12/31/2021 2021 Catawba Discharge.pdf 334.5KB Rocky River Regional Wastewater 12/31/2021 2021 Rocky River Discharge.pdf 370.08… City of Hickory 12/31/2021 2021 Hickory Discharge.pdf 313.5KB Yes No SLAS-18-01 1/16/2021 Yes No SDTF-55-20 12/16/2020 Yes No Septage Management Firm Operator Training Completed 1/30/2020 12 Hickory, NC NC Septic Tank Association Septage Land Application Site Operator Training Completed 1/31/2020 6 Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** Hickory, NC NC Septic Tank Association Registration Type Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes I have not received the City of Charlotte authorization to discharge paper yet;as soon as I receive it I will mail that in. Our Land Application permit and septage detention permit has been sent into the state already and is under review. 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. 11/6/2020 10:35:30 AM Neeley Robinson Treasurer 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: 20110612357222 Payment Date: 11/06/2020 Posting Date: 11/06/2020 Billing Information: A Sani-Can Service, Inc. 8151 Webbs Road Denver, NC 28037 7044835641 neeley@asanican.com Payment Amount: 800.00 USD Card Type: VISA Method: Not Present Reference Information: NCS-00016-2021,28037,A Sani-Can,8151 Webbs Rd,Denver,NC,NCS-00016,$800.00 Page 1 of 1 Disclaimer: A convenience fee is charged by a third-party provider for all online 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 11/9/2020