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HomeMy WebLinkAboutNCS01259_2021Permit_Initial 2021 Permit and Registration Neuse River Septic LLC is hereby issued a Septage Management Firm Permit, Permit Number NCS-01259 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. Neuse River RRF, Raleigh NC 2. NHRWWTP, Lillington 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 Neuse River Septic The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01259 Enter the five digits following the NCS # City Clayton State / Province / Region NC Postal / Zip Code 27520 Country USA Street Address 1400 Government Rd Address Line 2 Johnston Yes No City Clayton State / Province / Region NC Postal / Zip Code 27528 Country USA Street Address PO Box 176 Address Line 2 919-434-9776 jhebertnrs@gmail.com Owner Info Joe Hebert Yes No LLC 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 Clayton State / Province / Region NC Postal / Zip Code 27528 Country USA Street Address PO Box 176 Address Line 2 919-434-9776 Operator Info Joe Hebert Member Manager Yes No City Clayton State / Province / Region NC Postal / Zip Code 27528 Country USA Street Address PO Box 176 Address Line 2 919-434-9776 Type and amount of septage pumped in the last 12 months 563,000 0 0 0 0 North Carolina counties of operation Wake, Johnston, Harnett, Cumberland, Wayne, Nash, Franklin 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)** Other disposal method** 12/13/2020 Member Manager Add vehicles individually Upload List Domestic Septage YA113444 1m2p267y7pmq14340 3,000 Domestic Septage KE7640 1fvacxcy2ehfn8213 1,800 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Neuse River Resource Recovery Facility NRRRF 12/31/2021 Wake2021_0806…3.53MB North Harnett NHRWWTP NC0021636 12/31/2020 Harnet2021_08…2.42MB Yes No Yes No Yes No Septage Management Firm Operator Training Completed 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** 6/13/2020 4 Grantsboro, NC NC Pumper Group & NC Portable Toilet Group 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 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. 11/25/2020 05:08:53 AM Joe Hebert Member Manager PAID INVOICE #: NCS‐01259‐2021  PERMIT #: NCS‐01259  AMOUNT: $800  PAYMENT METHOD: e‐card  DATE: 12/23/2020    Chester Cobb