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HomeMy WebLinkAboutNCS01317_2021Permit_Initial 2021 Permit and Registration Victory Septic Solutions is hereby issued a Septage Management Firm Permit, Permit Number NCS-01317 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: 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 1. Henderson WWTP 2. Louisburg WRF 3. Neuse River Resource Recovery Facility 4. North and South Durham WRF 5. Septage Land Application Site, SLAS-35-10 6. Septage Treatment or Detention Facility, SDTF-35-10 7. Warren County WWTP 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 Victory Septic Solutions The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01317 Enter the five digits following the NCS # City Louisburg State / Province / Region NC Postal / Zip Code 27549 Country United States Street Address 186 EF Cottrell Road Address Line 2 Franklin Yes No 9198184342 victoryseptic@gmail.com Owner Info Marlon Lewis Yes No 9198184342 Operator Info Marlon Lewis Owner Yes No 919-818-4342 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 500,000 0 0 0 0 North Carolina counties of operation All Vehicle Info Yes No 12/31/2020 Owner Add vehicles individually Upload List Domestic Septage YA131761 1fvacxdc87hy39886 2,400 Domestic Septage YA157612 1NKZX4TX5MJ447814 4,000 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)** 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** Date**Hours** Location** Training Sponsored or Provided by** Henderson WWTP 12/31/2021 1609475932224…2.29MB Louisburg WRF 12/31/2021 1609476042182…2.18MB Neuse River Recovery Facility 12/31/2021 1609476132500…2.19MB North & South Durham WRF 12/31/2021 Warren County WWTP 12/31/2021 1609476942192…2.1MB Yes No SLAS-35-10 12/31/2023 Yes No SDTF-35-10 12/31/2023 Yes No Septage Management Firm Operator Training Completed 11/17/2020 4 WebX NC DEQ - New Operator Training Septage Land Application Site Operator Training Completed Date Hours Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** 11/17/2020 3 WebX NC DEQ - New Operator Training 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. 12/31/2020 11:12:40 PM Marlon Lewis Owner PAID INVOICE #: NCS‐01317‐2021  PERMIT #: NCS‐01317  AMOUNT: $800  PAYMENT METHOD: e‐check  DATE: 1/1/2021    Chester Cobb