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HomeMy WebLinkAboutNCS00785_2021Permit_Initial 2021 Permit and Registration Advanced Portable Toilets is hereby issued a Septage Management Firm Permit, Permit Number NCS-00785 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. City of Wilson, Wilson NC 2. Tar River Regional WWTP, Rocky Mount NC 3. Neuse River Resource Recovery Facility, Raleigh NC 4. Greenville Utilities WWTP, Greenville 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?** 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 Advanced Portable Toilets The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-785 Enter the five digits following the NCS # City Rocky Mount State / Province / Region North Carolina Postal / Zip Code 27804 Country United States Street Address 321 Jeffreys Road Address Line 2 Nash Yes No 2524433670 2524423193 brianjrents@gmail.com Owner Info Brian James Yes No 2524433670 2524423193 Operator Info Brian James President Yes No 2524433670 2524423193 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* Type and amount of septage pumped in the last 12 months 1,800 127,660 0 0 0 North Carolina counties of operation nash, wilson, edgecombe, halifax, pitt, franklin, wake Vehicle Info Yes No 12/30/2020 President Add vehicles individually Upload List Portable Toilet Waste jk8045 1FDUF4GT3JEC14522 500 Portable Toilet Waste ef5757 JALC4W162F7004217 300 Portable Toilet Waste JE7004 3HAMMMML3JL581236 900 Portable Toilet Waste jk8745 1FDUF5HT4KDA09447 600 Portable Toilet Waste dx8298 1htmmaal17h396846 1,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. 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** Date**Hours** Location** Training Sponsored or Provided by** Date Hours Location Yes No Hominy Creek Water Reclamation Facility 12/31/2021 Wilson Authorization to Dump.pdf 833.81… greenville utlities wwtp 12/31/2021 Greenville Authorization to Dump.pdf 514.77… tar river regional WWTP 12/31/2021 Rocky Mount Authorization to Dump.pdf 2.18MB Neuse River Resource Recovery Facility 12/31/2021 Raleigh Authoriztion to Dump.pdf 331.44… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 6/13/2020 4 Grantsboro NC NC Pumper Group & NC Portable Toilet Group Septage Land Application Site Operator Training Completed 0 Training Sponsored or Provided by 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 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. 12/30/2020 12:11:17 AM Brian James President PAID INVOICE #: NCS‐00785‐2021  PERMIT #: NCS‐00785  AMOUNT: $800  PAYMENT METHOD: e‐check  DATE: 1/1/2021    Chester Cobb