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Home My WebLink AboutNCS00916_2021Permit_Initial 2021 Permit and Registration Bailey's Septic Tank Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-00916 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. Louisburg WRF 2. Central Johnston County Regional WWTP 3. Neuse River Resource Recovery Facility 4. Septage Detention or Treatment Facilities, SDTF-92-12, SDTF-98-08 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 Bailey's Septic Tank Service The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00916 Enter the five digits following the NCS # City Knightdale State / Province / Region NC Postal / Zip Code 27545 Country USA Street Address 113 Neuse Harbor Dr Address Line 2 Wake Yes No City Knightdale State / Province / Region NC Postal / Zip Code 27545 Country USA Street Address PO Box 925 Address Line 2 9192661161 9192309147 baileyseptic@gmail.com Owner Info Leroy B 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 Knightdale State / Province / Region NC Postal / Zip Code 27545 Country USA Street Address PO Box 925 Address Line 2 9192661161 9192309147 Operator Info Leroy Bailey Technician Yes No City Knightdale State / Province / Region NC Postal / Zip Code 27545 Country USA Street Address 108 Neuse Harbor Dr Address Line 2 9192661161 9192309147 Type and amount of septage pumped in the last 12 months 401,000 0 88,000 0 0 North Carolina counties of operation Wake Johnston Nash Granville Franklin Harnett 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 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 12/13/2020 Owner Add vehicles individually Upload List Domestic Septage FD6453 1fvacwdc06hw60735 1,800 Grease (restaurant)CS1425 1fv3hfacxvl858054 1,700 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Louisburg WRF 12/31/2021 Scan2020-12- 13_180911.pdf 1.37MB Johnston County Regional Wastewater Treatment Plant 12/31/2021 Scan2020-12- 13_190344!.pd… 1.46MB Neuse River Resource Recovery Facility 12/31/2021 Scan2020-12- 13_190530@.pd… 999.26… Yes No Yes No each site. SDTF #*Expiration Date*Authorization 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 SDTF-9808 12/31/2021 Scan2020-12- 13_181046#.pd… 840.01… Yes No Septage Management Firm Operator Training Completed 11/17/2020 4 Online Dylan Friedenberg NC DEQ - New Operator Training Septage Land Application Site Operator Training Completed Registration Type Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes Training Provided by did not have class I took online. 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. 12/13/2020 05:52:38 PM greaseoutlet.com SDTF-92-12 12/31/2021 Print Name**Title** Leroy Bailey Owner 1 Cobb, Chester From:G M <gm@greaseoutlet.com> 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 CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. PAID INVOICE #: NCS‐00916‐2021 PERMIT #: NCS‐00916 AMOUNT: $800 PAYMENT METHOD: e‐card DATE: 12/15/2020 Chester Cobb