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Home My WebLink AboutNCS01062_2021Permit_Initial 2021 Permit and Registration Hall Septic Tank Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-01062 And by virtue of completing the annual training requirements is hereby registered as a Portable Sanitation & 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. Septage Detention or Treatment Facility, SDTF-85-07 2. City of Eden WWTP, Eden 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 Hall Septic Tank Service The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01062 Enter the five digits following the NCS # City Sandy Ridge State / Province / Region North Carolina Postal / Zip Code 27046 Country USA Street Address 1715 Steele Rd Address Line 2 Stokes Yes No 3368713948 ahallgrading@yahoo.com Owner Info Alan K. Hall Yes No 3368713948 Operator Info Alan K. Hall owner/operator Yes No 3368713948 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 230,000 16,000 0 0 0 North Carolina counties of operation Stokes, Rockingham, Forsyth, Guilford, Caswell Vehicle Info Yes No 12/7/2020 owner/operator Add vehicles individually Upload List Domestic Septage YA117621 1FV6HLAA25L684907 2,000 Portable Toilet Waste YA117621 1FV6HLAA25L684907 2,000 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 Other disposal method** Date**Hours** Location** Training Sponsored or Provided by** Date Hours Location Training Sponsored or Provided by Select one** City of Eden WWTP 12/31/2020 wwtp2021.pdf 624.17… Yes No Yes No SDTF-85-07 6/14/2021 wwtp2021.pdf 624.17… Yes No Septage Management Firm Operator Training Completed 1/30/2020 6 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 Comments or notes Signature Date Print Name**Title** 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. 12/7/2020 05:03:11 AM Alan K. Hall owner/operator AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carotina Department of Environment and Natural Resources Division of Waste Management - Solid Waste Section 401 Obedin Rd., Ste, 150, Raleigh, N.C. 27605 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. t,Melinda Ward - Citv of Eden Wastewater Treatment Plant Suoerintendent (Plant Operator and Name of Plant) 204 Mebane Bridoe Road -- Eden, NC 27288 (Address) 336-627-1009 ext. 130 do hereby authorize Alan Hall (Phone Number) of Hall Seotic Tank Service (Owner/Operator of Septage Management Firm) NCS# (Septage Management Firm trlame and NCS number) to dispose of: domestic septage , portable toilet waste X , grease septage (grease trap pumpings) N/A commercial/industrial septage , N/A , from Rockinoham Countv and surroundino counties (County or other Geographic Area) aithe above named wastewater treatment facility. Septage shall be discharged at: Mebane Bridoe Wastewater Treatment Plant : 204 Mebane Bridoe Road Eden, NC 27288 (Location) between the hours of 7:00 a.m. - 4:00 p.m. Monday - Friday - Septaqe will be accepted after hours by appt. only After hours & emergencies call: 336-627-1009 ext. 4 Reinfrodueing partially treated liquid into a grease trap is aeceptable Yes X No Sworn to and subscribed before me this }U day of N},.Ytylbf 20 2r' &LL^^r^{, L t+^v.}My Commission expires: (Notary Public) 'r*^ ngg'-\t'-.L-i Note: Falsification of this document by the septage management firm shall lead to permit ,"uo"ifrfu* .C + "',i?rrr n*co$'s This authorization shall be valid until PAID INVOICE #: NCS‐01062‐2021 PERMIT #: NCS‐01062 AMOUNT: $550 PAYMENT METHOD: e‐check DATE: 12/9/2020 Chester Cobb