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HomeMy WebLinkAboutNCS00531_2021Permit_Initial2021 Permit and Registration Ward Bros., LLC is hereby issued a Septage Management Firm Permit, Permit Number NCS-00531 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.T Z Osborne WRF, Mcleansville NC 2.City of High Point Eastside WWTP, Jamestown NC 3.Archie Elledge WWTF, Winston-Salem NC 4.Septage Detention or Treatment Facility, SDTF-34-02 5.City Asheboro WWTP, Asheboro 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 Ward Bros., LLC The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00531 Enter the five digits following the NCS # City Pleasant Garden State / Province / Region NC Postal / Zip Code 27313 Country United States Street Address 2757 Wayne White Rd. Address Line 2 Randolph Yes No 3366746060 3366742274 office@wardbrosllc.com Owner Info Nathan Ward and Nicholas Ward Yes No 3366746060 3366742274 Operator Info Nathan Ward Owner / Partner Yes No 3362159299 3366742274 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. Type and amount of septage pumped in the last 12 months 607,000 0 4,000 0 27,000 North Carolina counties of operation Guilford, Randolph, Davidson, Forsyth, Alamance, Rockingham, Chatham Vehicle Info Yes No 12/29/2020 Owner / Partner Add vehicles individually Upload List Domestic Septage YA009550 1XPFDE9X9MN304639 3,000 Domestic Septage YA145441 1FVHC5DL16HW73101 3,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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)** 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 T Z Osborne Water Reclamation Facility 12/31/2021 2021 Authorization To Discharge TZ Osborne.pdf 932.72… City of High Point Eastside WWTP 12/31/2021 2021 Authorization To Discharge High Point Eastside.pdf 475.77… City of Asheboro Wastewater Treatment Plant 12/31/2021 2021 Authorization To Discharge Asheboro (Incomplete).… 189.69… Archie Elledge Wastewater Facility 12/31/2021 2021 WWTP Authorization To Discharge Archie Elledge W- S.pdf 110.33… Yes No Yes No SDTF-34-02 12/31/2021 2021 Authorization to Discharge Enviro Relief.pdf 138.24… Other disposal method** Date**Hours** Location** Training Sponsored or Provided by** Date Hours Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** Yes No Septage Management Firm Operator Training Completed 1/30/2020 4 NCSTA Mtg. Hickory, NC 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 Please update our mailing and physical address to: 2757 Wayne White Rd., Pleasant Garden, NC 27313 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. 12/20/2020 03:58:31 PM Nathan Ward Owner / Partner AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a detention or treatment facility permit holder to indicate that permission has been given to a permitted Septage Management Firm to discharge septage into the permit holders detention or treatment facility.) I, Rodney Sides (Environmental Relief Technology, Inc. (Facility Operator) 617 Waughtown Street, Building 350, Winston-Salem NC 27107 (Operator Address) do hereby authorize: Morgan Ward (Owner of Septage Management Firm) Ward Brothers LLC – Septic Services NCS # 00531 (Name of Septage Management Firm) 2757 Wayne White Road, Pleasant Garden, North Carolina 27313 (Address of Septage Management Firm) to utilize septage detention or treatment facility # 34-02 for the treatment or storage of septage * in 2021 . The facility will be operated in accordance with the Septage Management Rules **. Date: 12/1/20 Signed (Facility Operator) * As defined in G.S. 130A-290(a)(32) ** As defined in 15A NCAC 13B .0800 Return the properly completed form to: North Carolina Department of Environment and Natural Resources Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 PAID INVOICE #: NCS‐00531‐2021  PERMIT #: NCS‐00531  AMOUNT: $800  PAYMENT METHOD: e‐check  DATE: 12/22/2020    Chester Cobb