NCS01363_2021Permit_Initial

2021
Permit and Registration
Eure
is hereby issued a Septage Management Firm Permit, Permit Number NCS-0 1363
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation 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.Elizabeth City WWTP, Elizabeth City 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?**
Mailing Address**
Phone**Fax
Firm Info
Eure
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01363
Enter the five digits following the NCS #
City
Chesapeake
State / Province / Region
VIRGINIA
Postal / Zip Code
23324
Country
USA
Street Address
1313 Priority Lane
Address Line 2
Out-of-State
Yes No
757-494-8770
[e-mail]
Owner Info
Jason Eure
Yes No
City
Chesapeake
State / Province / Region
Virginia
Postal / Zip Code
23322
Country
United States
Street Address
209 sampson creek, Suite A
Address Line 2
7573120600
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
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
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*
Operator Info
Eric Jason McGee General Manager
Yes No
7574355577
Type and amount of septage pumped in the last 12 months
0
500,000
0
0
0
North Carolina counties of operation
Gates, Currituck, Pasquotank
Vehicle Info
Yes No
11/18/2020
General Manager
Add vehicles
individually
Upload List
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**
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
Training Sponsored or Provided by
Portable Toilet Waste 90363T 5PVNj8jj4G4s50353 2,000
Portable Toilet Waste UA18-243 0714980734001 4,800
Portable Toilet Waste TX223293 5PVNJ8JJ6F4S50207 2,000
Portable Toilet Waste VA223-209 59VNJ8JJ8F4S50208 2,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Elizabeth City WWTP 12/31/2021 2021-
Authorization…
158.1KB
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
9/11/2020 4
Morganton, NC
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
0
Registration Type
Select one**
Comments or notes
Signature
Date
Print Name**Title**
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.
11/18/2020
04:00:00 AM
Eric Jason McGee [e-mail]
PAID
INVOICE #: NCS-01363-2021
PERMIT #: NCS-01363
AMOUNT: $800
PAYMENT METHOD: e-check
DATE: 12/3/2020

Chester Cobb