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Home My WebLink AboutNCS00304_2021Permit_Initial 2021 Permit and Registration Stay Clean is hereby issued a Septage Management Firm Permit, Permit Number NCS-00304 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. Central Johnson County Regional WWTP, Smithfield NC 2. Hominy Creek WRF, Wilson NC 3. North Harnett Regional WWTP, Lillington NC 4. Neuse River Resource Recovery Facility, Raleigh NC 5. Septage Detention or Treatment Facility, SDTF-51-03 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 STAY CLEAN The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00304 Enter the five digits following the NCS # City ANGIER State / Province / Region NC Postal / Zip Code 27501 Country United States Street Address 670 WIGGINS RD Address Line 2 Johnston Yes No 919-427-1623 919-639-1091 STAYCLEANINC@YAHOO.COM Owner Info GENE STEPHENSON Yes No 919-427-1623 919-639-1091 Operator Info BRIAN DIXON MANAGER Yes No 919-427-1623 919-639-1091 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: NC DEQ Type and amount of septage pumped in the last 12 months 72,000 265,000 0 0 0 North Carolina counties of operation JOHNSTON, HARNETT, WAKE Vehicle Info Yes No 12/8/2020 MANAGER 11-30-2020 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. Scan2020-11-30_125828.jpg 243.96KB Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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)** 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 Location Training Sponsored or Provided by Bill J. Thomas (Grade IV WW # 995445), ORC of NHRWWTP (NPDES # 0021636 12/31/2021 Scan2020-11- 30_130128.jpg 432.14… Jimmy Pridgen, of the City of Wilson Hominy Creek Water Reclamation Facility 12/31/2021 Scan2020-11- 30_130128_001… 432.13… Nathan Howell, City of Raleigh/Neuse River Resource Recovery Facility 12/31/2021 Scan2020-12- 08_070429_000… 452.44… John D. Wall-Central Johnston County Regional Wastewater Treatment Plant 12/31/2021 Scan2020-12- 08_070429_001… 502.82… Yes No Yes No SDTF-51-03 1/11/2021 Scan2020-11- 30_131639.jpg 561.81… Yes No Septage Management Firm Operator Training Completed 1/11/2020 4 N.C. STATE FAIRGROUNDS, RALEIGH NC NC Pumper Group & NC Portable Toilet Group Septage Land Application Site Operator Training Completed 0 Select one** Comments or notes Signature Date Print Name**Title** Registration Type Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes THANKS FOR LETTING US DO THIS ONLINE, IT WORKS GREAT! 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. 12/8/2020 07:00:00 AM Brian E. Dixon Manager PAID INVOICE #: NCS-00304-2021 PERMIT #: NCS-00304 AMOUNT: $800 PAYMENT METHOD: e-card DATE: 12/1/2020 Chester Cobb