NCS00868_2021Permit_Modify

2021
Permit and Registration

Dennis Willis Septic Service
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00868
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 Detention or Treatment Facility, SDTF-36-10 2. Septage Land Application Site, SLAS-36-10 3. McAlpine Creek WWTP, Charlotte NC 4. Cherryville 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, 2021.
__________________________________________________
Adam Ulishney, Environmental Compliance Branch Head

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1546
Fee assessments and waste determinations will be required at the discretion of the wastewater
Ge prerosative to deny discharges of any wastes to theLffiC La.1 Nr;ag- - (lter,,1v; rle.FurT P
t^63,to.,'q U L'x-easzfi q15L70
(Plant Operator in
701{-,13t- 1131
(Phone Number)
(oRc), oRc ticense Number, Name of Plant)
do hereby authorir" Brysnn \,/i llis
(Owner/Opdrator of Septage Management Firm)
{SeptagA Management Firm Name and NCS number)
of
to dispose of: domestic septage / .portable toilet warr" d/A
grease septage (grease trap pumpincs) Ar/A commercial/industrial septage A//A . from
Usually December 3L, Year)
oate \- \1- 2(
Subscribed and affirmed before me this t7 dayof t'l ', ,20 L\
betweenthetroursoi 1+vr,,. - 3C,,r.. f[- F ,/
Reintroducing partially treated liquid into a grease trap is acceptable Yes { no
This authorization shall be valid until l) -31- A0)l
il r'it- ^ c'^ tt)L--r*
(Notary Public)
,,t / li,*w. .4. l1lc! * *,n
My commission expires: 0 b ' Z\ Zo7 9
Note; Falsification of this document by the septage management firm shall lead to permit
S:/Solid-Waste/CLA/SEPTAGE/FORM5/2018 Firm Application/WWTP Authorization Form 2018
at the above named wastewater treatment facility. Septage shall be discharged at:
;." orO r"rar'