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HomeMy WebLinkAboutNCS01022_2021Permit_Initial 2021 Permit and Registration Environmental Inc. is hereby issued a Septage Management Firm Permit, Permit Number NCS-01022 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. Tuckaseigee Water & Sewer Authority, Sylva NC 2. French Broad River WRF of Buncombe Co., Asheville NC 3. Town of Murphy WWTP, Murphy NC 4. Town of Waynesville WWTP, Waynesville 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?** Mailing Address** Phone**Fax Email** Firm owner's name** Mailing address same as street address of office?** Mailing Address** Firm Info Environmental, Inc. The "Firm name" must be exactly as it is shown on your vehicle(s). NCS001022 Enter the five digits following the NCS # City Sylva State / Province / Region NC Postal / Zip Code 28779 Country United States Street Address 2675 Skyland Drive Address Line 2 Jackson Yes No City Cullowhee State / Province / Region NC Postal / Zip Code 28723 Country United States Street Address PO BOX 954 Address Line 2 8285865588 environmentalinc@aol.com Owner Info Mark Teague 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). 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 City Cullowhee State / Province / Region NC Postal / Zip Code 28723 Country United States Street Address PO BOX 954 Address Line 2 8285865588 Operator Info Mark Teague Owner Yes No City Cullowhee State / Province / Region NC Postal / Zip Code 28723 Country United States Street Address PO BOX 954 Address Line 2 8285865588 Type and amount of septage pumped in the last 12 months 430,701 0 0 0 0 North Carolina counties of operation Buncombe, Haywood, Jackson, Cherokee Vehicle Info Yes No 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 12/31/2020 Owner Add vehicles individually Upload List Domestic Septage YA94985 1FDXR8ZE85VA07288 2,100 Domestic Septage FA4370 1GDJ7C1326F900944 1,800 Domestic Septage YA159781 1XPSDU9X9BD117395 4,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No MSD of Buncombe County, NC 12/31/2021 Environmental Inc Authorization to Discharge Forms 2021 .pdf 109.26… 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 Training Sponsored or Provided by Select one** Town of Waynesville 12/31/2021 Environmental Inc Authorization to Discharge Forms 2021 .pdf 109.26… TWSA 12/31/2021 Environmental Inc Authorization to Discharge Forms 2021 .pdf 109.26… Town of Murphy 12/31/2021 Environmental Inc Authorization to Discharge Forms 2021 .pdf 109.26… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 1/30/2020 4 Hickory, NC NC Septic Tank Association Septage Land Application Site Operator Training Completed 0 Registration Type Comments or notes Signature Date Print Name**Title** 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. 12/31/2020 09:56:30 AM Mark Teague Owner