NCS01549_2020Permit_Initial

2020
Permit and Registration

Reliable Onsite Services
(Raleigh)
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01549
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation 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. Tar River Regional Wastewater Treatment Facility, Rocky Mount 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, 2020.

__________________________________________________
Adam Ulishney, Environmental Compliance Branch Head

$800 for permit/truck registration
APPLICATION FOR PERMIT TO OPERA TE A SEPT AGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT -SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The "Firm name" must be exactly as it is shown on your vehicle(s)).
Reliable Onsite Services
Street address of office: 2951 Towland Rd ---------------------
City: Raleigh State: _N_C __ Zip: 27615
Mailing address (if different): _79_1_E_a_st_64_th_A_v_e _____________ _
City: Denver state: _c_o __ .Zip: __ 80_2_29 _____ _
Phone: [phone] Fax:--------------
E-Mail: [e-mail]
County: Wake Septage Management Firm permit number: NCS # __
(2.) Firm owner's name: United Rentals (North America), Inc.
Mailing address (if different): ---'-7 __ 91;;._;E=a=st:....;:6....;.;4t;;..;..h """Av=e _____________ _
City: Denver State: CO Zip: ___ 8..;;..;02=2c.;;._9 _____ _
Phone: [phone] Fax: ------------------------
(3.) Firm operator's name: United Rentals (North America), Inc Firm operator's title: ___ _
Mailing address (if different): ___________________ _
City: ____________ State: ___ Zip: _______ _
Phone: Fax: ------------------------
(4.) Type(s) of septage pumped: Write in the number of gallons pumped in last 12 Months (Example: Domestic:
50,000).
Domestic Portable Toilet Waste Grease Restaurant Treatment Plant Industrial/Commercial
65,500
(5.) N.C. Counties of Operation: Wake, Durham, Chatham, Johnston, Nash, Franklin
Hillsborough
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: __ 3 ____ _
Number used for: Domestic Septage:____ Grease (restaurant):____ p 4 J D
Other:_______ Portable Toilet Waste: __ 3__ _ _ _ _
Vehicle Information: (use additional paper if needed) e:t ( t \J P ~ OD ~ /r:e;A.
License Tag # Vehicle Identification # Tank Capacity
1 Trucks to be added have not beeA-delivered vet
2
3
4
5
APPLICATION CONTINUED ON PAGE 2
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APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( ) yes ( ) no. If yes, submit Wastewater Treatment Authorization
for each plant, as indicated in Subparagraph .0833(c)(14) of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#: ___ Expiration Date:____ SLAS#: ___ Expiration Date: ___ _
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: {use additional sheets if needed)
SDTF#: ____ Expiration Date:____ SDTF#: ____ Expiration Date: ___ _
(8.) Septage Management Finn Operator Training Completed:
Date: ______ Location: _______ _ Hours:
Training Sponsored or Provided by: ____________________ _
(9.) Septage Land Application Site Operator Training Completed:
Date: ______ Location: _______ _ Hours:
Training Sponsored or Provided by: ____________________ _
(10.) Registration type requested: CHECK ONE
Registered Portable Sanitation Finn: .
Registered Septage Management Finn: X
Registered Portable Sanitation and Septage Management Finn: __
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.
(Signature of company official required)
Jeffrey Walker
Print Name
Other Comments:
Date 11
Environmental Manager
Title
S:/Solid_Waste:/CLA/SEPT AGE/FORMS/2018 Firm Application/FirmPermitApplication2018
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