HomeMy WebLinkAboutNCS01269_2021Permit_Initial2021
Permit and Registration
Portable Toilets of Fayetteville
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01269
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. Moore County Water Pollution Control Plant 2.Cross Creek WRF/Rockfish Creek WRF, Fayetteville 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).
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
Firm name**
Portable Toilets of Fayetteville Inc.
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)**
NCS-01269
Enter the five digits following the NCS #
City
Fayetteville
State / Province / Region
NC
Postal / Zip Code
28306
Country
United States
Street Address
1171 S. Eastern Blvd.
Address Line 2
Cumberland
Yes No
9102262000
ptfoffay@gmail.com
Owner Info
Kenny Hardin/Jeff Rinaldi
Yes No
9102262000
Operator Info
Jeff Rinaldi Owner/Operator
Yes No
9102262000
-------Removed Inc, to match firm name on DWM records 2/24/2021
Amount in gallons *
DomesticDomestic
Portable Toilet WastePortable Toilet Waste
Grease (Restaurant)Grease (Restaurant)
Treatment PlantTreatment Plant
Industrial/CommercialIndustrial/Commercial
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 **
Type and amount of septage pumped in the last 12 months
6,000
255,000
0
0
0
North Carolina counties of operation
Bladen, Cumberland, Harnett, Hoke, Lee, Moore, Robeson, Sampson
Vehicle Info
Yes No
12/9/2020
Owner/Operator
Add vehicles
individually
Upload List
Portable Toilet Waste JV-9510 3C7WRTCL0GG251925 300
Portable Toilet Waste JY-9345 1GBK7C1377F402124 1,100
Portable Toilet Waste JS-1013 2NCHHM6X2LM386031 1,100
Portable Toilet Waste TEMP TAG 3C7WRNBL6LG253184 800
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
KE-7172
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**
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Yes No
PWC CROSS CREEK/ROCKFISH FAYETTEVILLE 12/31/2021 2020AuthCross…31.32KB
MOORE COUNTY WPCC 12/31/2021 2020AuthMoore…226.52…
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
1/30/2020 0
NCSTA ASHVILLE, 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
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.
12/9/2020
03:25:29 AM
Jeff D. Rinald Owner/Operator
1
Cobb, Chester
From:Wylie, Connie
Sent:Friday, January 22, 2021 7:53 AM
To:Cobb, Chester; Bullard, Jeffrey R
Subject:FW: [External] Permanent Tag
FYI‐ see below, just wanted to let you know his new tag number, in case it is not his firm application.
Connie
From: Portable Toilets of Fayetteville, Inc. [mailto:ptfoffay@gmail.com]
Sent: Thursday, January 21, 2021 4:19 PM
To: Wylie, Connie <connie.wylie@ncdenr.gov>
Subject: [External] Permanent Tag
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Connie,
Good Afternoon. We finally received our permanent tag for the new pump
truck you recently inspected. Below is the info.
2020 Dodge Ram 5500, 800 Waste:
- Tag # KE-7172
V/r
Jeff Rinaldi
Portable Toilets of Fayetteville
P.O.Box 64006
Fayetteville, NC 28306
910-226-2000
www.portabletoiletsoffayetteville.com
PAID
INVOICE #: NCS‐01269‐2021
PERMIT #: NCS‐01269
AMOUNT: $800
PAYMENT METHOD: e‐check
DATE: 12/10/2020
Chester Cobb