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Home My WebLink AboutNCS00825_2021Permit_Initial 2021 Permit and Registration Parks Portable Toilets Inc is hereby issued a Septage Management Firm Permit, Permit Number NCS-00825 And by virtue of completing the annual training requirements is hereby registered as a Portable Sanitation 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. Hominy Creek Water Reclamation Facility, Wilson NC 2. Johnnie Mosley Regional Water Reclamation Facility, Kinston NC 3. Septage Detention or Treatment Facilities, SDTF-96-02 & SDTF-98-08 4. Septage Land Application Site, SLAS-96-09 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?** Mailing Address** Phone**Fax Email** Firm owner's name** Mailing address same as street address of office?** Mailing Address** Firm Info Parks Portable Toilets, Inc The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00825 Enter the five digits following the NCS # City Goldsboro State / Province / Region NC Postal / Zip Code 27530 Country United States Street Address 179 Combs Rd Address Line 2 Wayne Yes No City Goldsboro State / Province / Region NC Postal / Zip Code 27530 Country United States Street Address P.O. Box 1611 Address Line 2 919-735-9402 919-735-9450 info@parksportable.com Owner Info Bonnie P. Howell Yes No Phone**Fax 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). City Goldsboro State / Province / Region NC Postal / Zip Code 27530 Country United States Street Address 226 Combs Rd Address Line 2 919-583-5052 Operator Info Bonnie P. Howell President Yes No City Goldsboro State / Province / Region NC Postal / Zip Code 27530 Country United States Street Address 226 Combs Rd Address Line 2 919-583-5052 Type and amount of septage pumped in the last 12 months 0 245,000 0 0 0 North Carolina counties of operation Carteret, Craven, Duplin, Edgecombe, Harnett, Greene, Jones, Johnston, Nash, Sampson, Wake, Wayne, Wilson, Onslow, Pitt, Cumberland, Moore Vehicle Info Yes No 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: NC DEQ Division of Waste Management - Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 Wasterwater Treatment Facility Name*Expiration Date*Authorization 12/4/2020 President Add vehicles individually Upload List Portable Toilet Waste EW2664 3C7WRMDL4FG545010 700 Portable Toilet Waste HH5456 3C7WRMBL8HG535344 900 Portable Toilet Waste EN7149 1FDUF5GTXEEA43697 900 Portable Toilet Waste AP8291 3C7WRMDL9JG122500 700 Portable Toilet Waste JM8587 3C7WRMBL3JG383298 625 Portable Toilet Waste JM8371 3C7WRMBLXKG538186 900 Portable Toilet Waste FB7398 1FDUF5GT7FEC38495 900 Portable Toilet Waste YA253882 1FUY3WDB7WL955922 3,500 Portable Toilet Waste FD8581 3C7WRMBL6GG100403 900 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Septage Land Application Sites (SLAS)** If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #*Expiration Date*Authorization 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** City of Wilson Hominy Creek Water Reclamation Facility 12/31/2021 City of Wilson Hominey Creek Water Reclamation Facility.pdf 307.99… Johnnie Mosley Regional Water Reclamation Facility 12/31/2021 Johnnie Mosley Water Reclamation Facility.pdf 358.23… Daniel L Newsome 12/31/2021 Daniel L Newsome.pdf 244.57… Yes No SLAS-9609 6/14/2021 SLAS 9602 Permit.pdf 1.52MB Yes No SDTF-9602 6/14/2021 SDTF 9602 Permit.pdf 1002.1… 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 Date Hours Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** 6/13/2021 3 Grantsboro, NC NC Pumper Group & NC Portable Toilet Group 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. 12/4/2020 08:06:01 AM Bonnie P. Howell President PAID INVOICE #: NCS-00825-2021 PERMIT #: NCS-00825 AMOUNT: $800 PAYMENT METHOD: e-card DATE: 12/7/2020 Chester Cobb