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Home My WebLink AboutNCS00072_2021Permit_Initial 2021 Permit and Registration Ivey's Septic Tank Service, Inc. is hereby issued a Septage Management Firm Permit, Permit Number NCS-00072 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. East Burlington WWTP 2. OWASA-Old Mason Farm Plant, Chapel Hill NC 3. Town of Siler City WWTP 4. North and South Durham Water Reclamation Facility 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?** 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 IVEY'S SEPTIC TANK SERVICE inc. The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00072 Enter the five digits following the NCS # City EFLAND State / Province / Region NC Postal / Zip Code 27243-9619 Country United States Street Address 1122 BROOKHOLLOW RD Address Line 2 Orange Yes No 9197325592 kristalivey6@gmail.com Owner Info Toby Ivey Yes No 919-606-4624 Operator Info Toby Ivey Yes No 919-606-4624 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** 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: Type and amount of septage pumped in the last 12 months 400,000 0 0 0 0 North Carolina counties of operation Orange, Durham, Alamance & Chatham Vehicle Info Yes No 12/9/2020 President Add vehicles individually Upload List Domestic Septage YA113902 2F2HANBS52AJ98211 3,200 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)** Septage Detention or Treatment Facility (SDTF)** Other disposal method** Date**Hours** Location** Training Sponsored or Provided by** Date Hours Location Training Sponsored or Provided by Select one** Comments or notes North and South Durham Water Reclamation Facility 12/31/2021 East Burlington WWTP 12/31/2021 Authorization…411.43… OWASA 12/31/2021 Authorization…407.3KB Town of Siler City WWTP 12/31/2021 Yes No Yes No Yes No Septage Management Firm Operator Training Completed 1/30/2020 6 Hickory Metro Convention Center 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 Signature Date Print Name**Title** 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. 12/9/2020 04:20:42 AM Toby Ivey President 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 27699-1646 Fee assessments and waste determinations will be required at the discretion of the wastewater treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming wastewater stream. Wilmer Lawson Certification #996021, oWASA- Old Mason Farm Plant (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 170 Old Mason Farm Rd, Chapel Hill, NC 27517 (Address) 919-537-4351 Toby Ivey do hereby authorize. (Phone Number) (Owner/Operator of Septage Management Firm) vey's Septic Tank Service Inc. of NCS # 00072 (Septage Management Firm Name and NCS number) to dispose of: domestic septage X portable toilet waste X grease septage (grease trap pumpings) commercial/industrial septage. , from Orange and Surrounding Counties (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: 170 Old Mason Farm rd, Chapel Hill, NC 27517 (Location) 7:30-4:30 Monday thru Friday between the hours of. Reintroducing partialiy treated liquid into a grease trap is acceptable Yes X_No December 31, 2021 This authorization shall be valid until. (Usually December 31, Year) Signed n Date 2-1S: 22* (Facility Operator) DecembD day of 15 200 Subscribed and affirmed before me this lcha (lotary Public) My Commission expires:d3-a035 (OFFICIAL SEAL) KELLY H. BELCHER Notary Public,North Carolina Alamance CountyYMy Commission Expires Ua32045 Note: Falsification of this document by the septagemanagement tirm shall lead to permit revocation. S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/wWTP Authorization Form 2018 PAID INVOICE #: NCS‐00072‐2021 PERMIT #: NCS‐00072 AMOUNT: $550 PAYMENT METHOD: e‐check DATE: 12/10/2020 Chester Cobb