NCS00310_2021Permit_Initial

2021
Permit and Registration

Pee Wee's Septic Tank Cleaning
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-00310
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. Town of Siler City WWTP
3. Old Mason Farm WWTP, Chapel Hill NC 4. Septage Detention or Treatment Facility SDTF-92-12
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?**
Mailing Address**
Phone**Fax
Firm Info
Pee Wee’s Septic Tank Cleaning
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00310
Enter the five digits following the NCS #
City
Graham
State / Province / Region
NC
Postal / Zip Code
27253
Country
USA
Street Address
1830 Almond Ln
Address Line 2
Alamance
Yes No
3362260329
[e-mail]
Owner Info
William Matthew Hill
Yes No
City
Graham
State / Province / Region
NC
Postal / Zip Code
27253
Country
USA
Street Address
1837 Swepsonville Rd
Address Line 2
3362147967
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
Mailing address**
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**
Title**
Operator Info
William Matthew Hill Owner/operator
Yes No
City
Graham
State / Province / Region
NC
Postal / Zip Code
27253
Country
USA
Street Address
1837 Swepsonville Rd
Address Line 2
3362147967
Type and amount of septage pumped in the last 12 months
307,000
0
48,000
0
0
North Carolina counties of operation
Alamance, Orange, Chatham
Vehicle Info
Yes No
12/15/2020
Owner/operator
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**
Date**Hours**
Location**
Training Sponsored or Provided by**
Owner/operator
Add vehicles
individually
Upload List
Domestic Septage PUMPNP00 3FEXF8014XMA17497 2,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
East Burlington Wastewater Treatment
Plqnt
12/31/2021 718F2C15-
BAC6-4448-
B1EF-
8918C3EB5F0D.…
2.61MB
Town of Siler City WWTP 12/31/2021 18738CF4-
BCEB-41A4-
AA4D-
FA4CE2D83355.…
2.86MB
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
1/11/2020 4
Raleigh, NC Fairgrounds
NC Pumper Group & NC Portable Toilet Group
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Print Name**Title**
NC Pumper Group & NC Portable Toilet Group
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
Still have not received a discharge authorization from OWASA. Will email as
soon as I get it.
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.
12/15/2020
12:37:54 AM
William Matthew Hill Owner/operator
AUTHORIZATION T 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)
William Matthew Hil 919-537-4351 do hereby authorize
(Phone Number) (Owner/Operator of Septage Management Firm)
Pee Wee's Septic Tank Cleaning NCS# 00310 of
(Septage Management Firm Name and NCS number)
N/A to dispose of: domestic septage. X portable toilet waste
from grease septage (grease trap pumpings) N/A commercial/industrial septageN/A
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)
between the hours of. Monday-Friday 8am-4pm-
_Yes X_No Reintroducing partially treated liquid into a grease trap is acceptable
December 31, 2021 This authorization shall be valid until
(Usually December 31, Year)
Signed h Date 22- S:2*20
(Facility Operator)
Decembx day of 5L 20 0 Subscribed and affirmed before me this .
My Commission expires: ll-3:205
((Notary Public)
(OFFICIAL SEAL) KELLY H. BELCHER
Notary Public, North Carolina
Alamance County
My Gammission Expires
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/wWTP Authorization Form 2018
1
Cobb, Chester
From:G M <[e-mail]>
Sent:Wednesday, December 30, 2020 12:31 PM
To:Cobb, Chester; Wylie, Connie; Chip Haskell
Subject:[External] 2021 Authorization to discharge forms for Grease Outlet.com
Attachments:2021 permitted septage management firms using Grease Outlet.com LLC.pdf
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PAID
INVOICE #: NCS‐00310‐2021 
PERMIT #: NCS‐00310 
AMOUNT: $550 
PAYMENT METHOD: e‐check 
DATE: 12/16/2020 

Chester Cobb