NCS01436_2021Permit_Initial

2021
Permit and Registration

Triangle Grease and Septic Services
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01436
And by virtue of completing the annual training requirements is hereby registered as a 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. North & South Durham WRR, Durham NC 2. Septage Detention or Treatment Facility, SDTF-92-12
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?**
Phone**Fax
Firm Info
Triangle Grease And Septic Services LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01436
Enter the five digits following the NCS #
City
Sanford
State / Province / Region
nc
Postal / Zip Code
27332
Country
USA
Street Address
567 holder rd
Address Line 2
Lee
Yes No
City
Lemon Springs
State / Province / Region
NC
Postal / Zip Code
28355
Country
USA
Street Address
P.O.BOX 453
Address Line 2
919 897-4231
[e-mail]
Owner Info
Esther Y Ssaucedo
Yes No
919 897 4231
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
Rousbel Saucedo Driver
Yes No
919 897 4231
Type and amount of septage pumped in the last 12 months
16,000
0
10,000
0
0
North Carolina counties of operation
Lee,Cary,Raleigh,Apex,Rocky Mounth,Smithfield,Greensboro,Fayettvile,
Vehicle Info
Yes No
12/7/2020
OWNER
Add vehicles
individually
Upload List
Approved wastewater treatment plant **
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
Signature
Domestic Septage YA143617 1M1AK06YX7N022449 4,000
Grease (restaurant)YA143617 1M1AK06YX7N022449 4,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
9/23/2020 6
BEER CREEK
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
9/23/2020 6
BEER CREEK
NC Septic Tank Association
Registration Type
Registered Portable Sanitation Firm
Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments and Notes
I WIL SEND BY EMAIL SEPARED THE SEPTAGE DISPOSAL METHOD
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.
Date
Print Name**Title**
12/7/2020
09:28:51 PM
Esther Y Saucedo owner
1
Cobb, Chester
From:G M <[e-mail]>
Sent:Wednesday, December 30, 2020 12:31 PM
To:Cobb, Chester; Wylie, Connie; Chip Haskell
Subject:[External] 2021 Authorization to discharge forms for Grease Outlet.com
Attachments:2021 permitted septage management firms using Grease Outlet.com LLC.pdf
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PAID
INVOICE #: NCS‐01436‐2021 
PERMIT #: NCS‐01436 
AMOUNT: $550 
PAYMENT METHOD: e‐card 
DATE: 12/9/2020 

Chester Cobb