HomeMy WebLinkAboutNCS01083_2021Permit_Initial 2021
Permit and Registration
1st Choice Septic
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01083
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. First Broad River WWTP, Shelby NC
2. Old Brookford Plant, Hickory NC
3. Septage Land Application Site SLAS-12-03 4. Septage Detention or Treatment Facilities SDTF-12-03, SDTF-34-06, SDTF-36-15, SDTF-55-04 & SDTF-60-09
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?**
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
1st Choice Septic
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01083
Enter the five digits following the NCS #
City
Cherryville
State / Province / Region
NC
Postal / Zip Code
28021
Country
United States
Street Address
3661 Eaker Rd
Address Line 2
Lincoln
Yes No
7044475500
mindy@1stchoiceservicenc.com
Owner Info
Jonathan Watts
Yes No
7044475500
Operator Info
Jonathan Watts President
Yes No
7044475500
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*
Type and amount of septage pumped in the last 12 months
1,382,700
100
270,600
1
1
North Carolina counties of operation
Lincoln, Gaston, Burke, Cleveland, Catawba, Alexander, Mecklenburg, Union,
Cabarrus, Rutherford, Rowan, Iredell
Vehicle Info
Yes No
12/11/2020
Erin Watts, Vice President
Add vehicles
individually
Upload List
Domestic Septage MA4154 1FUYDECB6LH371325 4,000
Domestic Septage MX1382 1FUBYCBS1B0B49731 4,000
Domestic Septage NC6093 ALCHYFE8JDJZ8939 4,000
Domestic Septage NC5376 1ATWGAAT66F239336 4,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
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)**
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**
Yes No
FIRST BROAD RIVER 12/31/2021 Shelby_202012…68.08KB
OLD BROOKFORD PLANT 12/31/2021 hickory_20201…45.36KB
Yes No
SLAS-12-03 12/31/2021 REGAN
LAND.pdf
30.16KB
Yes No
SDTF-55-04 12/31/2021 1st
choice.pdf
30.96KB
SDTF-34-06 12/31/2021 Liquid
environmental…
34.35KB
SDTF-60-09 12/31/2021 Liquid
environmental…
34.35KB
SDTF-12-03 12/31/2021 REGAN 2.pdf 39.58KB
SDTF-36-15 12/31/2021 earth
farms.pdf
34.05KB
Yes No
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**
Septage Management Firm Operator Training Completed
1/29/2020 6
Hickory, NC
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
1/30/2020 3
Hickory, NC
NC Septic Tank Association
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.
12/11/2020
03:15:44 AM
Erin Watts Vice President
PayPoint
Payment Receipt
Application: Solid Waste
Merchant: NDENR-Solid Waste
Merchant City/State: Raleigh, North Carolina
Payment Status: Success
Result Message: Success
Confirmation Number: 20111814201801
Payment Date: 11/18/2020
Posting Date: 11/18/2020
Billing Information: Erin Watts 3661 Eaker Rd Cherryville, NC 28021 7044475500 erin@lstchoiceservicenc.com
Payment Amount: 800.00 USD
Account#:
Page 1 of 1
Routing#:
Account Type: Checking
Reference Information: NCS-01083-2021,28021,lst Choice Septic,3661 Eaker Road,Cherryville,NC,NCS-01083,$800.00
Disclaimer: No convenience fee is charged for using the eCheck payment method. However, a processing fee of $25.00 or 10% of the amount of the eCheck, whichever is greater, will be charged for an eCheck returned due to insufficient funds. Payments are null and void if payment is made with an eCheck that is returned unpaid by the bank.
https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 11/19/2020