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Home My WebLink AboutNCS00042_2021Permit_Initial 2021 Permit and Registration Massey Septic Tank Co., Inc. is hereby issued a Septage Management Firm Permit, Permit Number NCS-00042 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. Town Creek WWTP, Spencer NC 3. 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?** Mailing Address** Phone**Fax Email** Firm owner's name** Mailing address same as street address of office?** Mailing Address** Firm Info Massey Septic Tank Co., Inc The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00042 Enter the five digits following the NCS # City Mt. Ulla State / Province / Region North Carolina Postal / Zip Code 28125 Country USA Street Address 13185 Hwy. 801 Address Line 2 Rowan Yes No City Mt. Ulla State / Province / Region North Carolina Postal / Zip Code 28125 Country USA Street Address PO BOX 643 Address Line 2 704-278-3528 704-278-0284 masseyseptictank@bellsouth.net Owner Info Wilfred O. Hawes Yes No Phone**Fax Firm operator's name**Firm operator's title Mailing address same as street address of office?** 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** City Mt. Ulla State / Province / Region North Carolina Postal / Zip Code 28125 Country USA Street Address PO BOX 643 Address Line 2 704-278-3528 704-278-0284 Operator Info Wilfred O.Hawes President Yes No 704-278-3528 704-278-0284 Type and amount of septage pumped in the last 12 months 974,000 0 0 0 0 North Carolina counties of operation Rowan, Cabarrus, Iredell, Mecklenburg, Catawba, Burke, Lincoln, Stanly Vehicle Info Yes No 12/29/2020 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)** Other disposal method** President Add vehicles individually Upload List Domestic Septage YA24667 2NPLH27X45M848463 2,200 Domestic Septage YA102592 1GBMC1306F417018 2,500 Domestic Septage EP6741 2NP2HM6X1DM197050 2,000 Domestic Septage YA145716 1FVACWFC9KHKJ8964 2,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Town Creek WWTP 12/31/2021 Town Creek Auth. to discharge 2021.pdf 444.22… Clark Creek WWTP 12/31/2021 Clark Creek Auth. discharge 2021.pdf 426.42… Rocky River WWTP 12/31/2021 Rocky River Auth. 2021.pdf 379.46… 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** Yes No Septage Management Firm Operator Training Completed 9/22/2020 6 Stoney Point NC Septic Tank Association 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. 12/29/2020 03:02:25 PM Wilfred O. Hawes President PAID INVOICE #: NCS‐00042‐2021 PERMIT #: NCS‐00042 AMOUNT: $800 PAYMENT METHOD: e‐check DATE: 12/30/2020 Chester Cobb