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HomeMy WebLinkAboutNCS01437_2021Permit_Initial 2021 Permit and Registration Hulin Septic Tank is hereby issued a Septage Management Firm Permit, Permit Number NCS-01437 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. Town of Denton WWTP, Denton NC 2. City of Asheboro WWTP, Asheboro 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?** Phone**Fax Firm operator's name**Firm operator's title Mailing address same as street address of office?** Phone**Fax Firm Info Paul Allen Hulin The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01437 Enter the five digits following the NCS # City Lexington State / Province / Region NC Postal / Zip Code 27292 Country USA Street Address 128 J Nettie Dr. Address Line 2 Davidson Yes No 3364422360 hulinseptictank@gmail.com Owner Info Paul Allen Hulin Yes No 3364422360 Operator Info Paul Allen Hulin Owner/Operator Yes No 3364422360 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 41,000 0 0 0 0 North Carolina counties of operation Davidson Randolph Vehicle Info Yes No 12/22/2020 Owner Add vehicles individually Upload List Domestic Septage YA141904 2FZAAKBV31AH62952 2,000 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)** 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** Town of Denton 12/31/2021 Town of Denton.pdf 64.81KB Recertificati… of Pumper Vehicle.pdf 26.85KB City of Asheboro 12/31/2021 City of Asheboro.pdf 76.45KB Yes No Yes No Yes No Septage Management Firm Operator Training Completed 10/14/2020 4 Wilkesboro 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 Comments or notes Signature Date Print Name**Title** I uploaded my Recertification of Pumper Vehicle Form with the Town of Denton WWTF Authorization Form. Thanks Paul 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. 12/22/2020 02:35:00 PM Paul Allen Hulin Owner NC SEPTAGE MANAGEMENT FIRM Recertification of Pumper Vehicle(s) Septage Firm Permit #:NCS-01437 Number of Pumper Vehicles:__.__ CERTIFICATION: "I certify,under penalty of law,that the pumper vehicle or vehicles listed in the submitted permit application meet the requirements for safe and sanitary transportation of septage as required by15A NCAC 138 .0844 (a)and vehicle lettering as required by 15A NCAC 138 .0844 (b).I also certify that a log is maintained of each septage pumping event as required by 15A NCAC 138 .0839 (a).I am aware that there are significant penalties for false certification including the possibility of fine and imprisonment." 12/22/20 Date 12/22/20 i9I1atUre(Signature of companyofficial required) Paul Allen Hulin Print Name Title S:\Solid_Waste\cla\septage\fonns\Pumper Vehicles Cetlflcatlon.doc AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environment and Natural Resources Division of Waste Management -SolidWaste Section 1646 Mail ServiceCenter,Raleigh,NC27699-1646 Feeassessmentsand waste determinations will be required at the discretion of the wastewater treatment facility.The facility has the ultimate prerogative to deny discharges of any wastes to the incoming wastewater stream. "Ml~hael R.Wisem~!1.ORC....WW4#987680.City of Asheboro Wastewater Treatment Plant (Plant Operator in Responsible Charge (ORC),ORCUcense Number,Name of Plant) 1032 Bonkemeyer Drive,Randleman,NC27317 (Address) .~33~6",---,,-6!-,72=-.--,,-08=.:9:<.:2,___~_doherebyauthorize PaulAllen Hulin "Allen" (Phone Number)(Owner/Operator of Septage Management Firm) of Hulin Septic...!T~a!.!.!nk~,____:.N.:.!C~S:!!#01437 (Septage Management Firm Name and NCSnumber) to dispose of:domestic septage _-"X:!..__-,portable toilet waste _ grease septage (greasetrap pumpings)_...:.X':____commercial/industrial septage ,"_,from Randolph County (County or other GeographicArea) at the above named wastewater treatment facility.,Septage shall be discharged at: 1032 Bonkemeyer Drive,Randleman,NC27317 (location) between the hours of 7:00 a.m.to 5:00 p.m.Monday -FridavOnly Reintroducingpartiallytreated liquidIntoa greasetrap isacceptable _Yes _X_No This authorization shall be valid until December 31,2021 (Usually December 31,Year) Subscribed and affirmed before me this _--1..'\.::::!It':.__.day of Ceu..u....b-c _~~:4.i--~A.'."~ ~-PUblic). .20 2'0 My Commission expires:~~:&.~", \\,\"II,,"~..iE-NO\,r II,~.:'",,'~~ (OFFICIAti_l)""0 ~~~'"r..;.(.: :~-<1 ~rn=:CJ G'J :a: ;~~{/C $ "'-0.(J~Note:Falsification of this document by the septage management firm shall lead to permit revocatrtt,iY C ~.$ S:/Solid_Waste/CLA/SEPTAGE/FORMS/2019Firm Application/WWTP Authorization Form 2019 "'"OUN't"",\\"" """"'" AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environment and Natural Resources Divisionof Waste Management -SolidWaste Section•1646 MailServiceCenter,Raleigh,NC27699-1646 ~ Fee assessments and waste determinations willbe required at the discretio,,"of the wastewater treatment facility.The facility has the ultimate prerogative to deny dischargls of any wastes to the incoming wastewater stream. • I,lSo~13CQ.N'b.997S\J ""1Own ~D~n-toY\~r w-r2 (Plant operat~r in Responsi61eCharge(ORC),ORCLicenseNumber,Name of Plant) (Address) 1~!.uIqIl...-_!-a!!!.!5::....q.l--_4~4.J,;(.,IIR:()~__do hereby authorize A \\er"\\tu \iV\ (Phone Number)(Owner/Operator ofS~ptage Management Firm) of \\J.~n SepTLc.TUj\k (SeptageManagement Firm Name and NCSnumber) NCS#Q\4.3, to dispose of:domestic septage -..,/portable toilet waste ____!!V",-'___oJ grease septage (grease trap pumpings)commercial/industrial septage _'from (County or other Geographic Area) at the above named wastewater treatment facility.Septage shall be discharged at: (Location) between the hours of __ Reintroducing partially treated liquid into a grease trap is acceptable _Yes V No Thisauthorization shall be valid until DeC-¬ Ynter3 \,to2l (Usually December 31,Year) Date /W 7/Lt)2..0 Subscribed and affirmed before me this ~1_1~-tV\day of DeCfmbe/,20 0<..0 ~p_Q 1{_~turr2 MyCommissionexpires:1:V()3<r44~?h;;;{f.'. i~~;aryP¥C)'..\':","-I; (OFF~!8l SEAt'{~~>:-:::-'/'~~~" --~J '.l'!:--.',_.",-,,!.... -:-,.j,(""..'.r)-: j;.".f"'_/\......~l~':,~. "",~"'~.-"".:~"",--.... Note:Falsification of this document by the septage management firm shall lead to permit revo~~~i~n.'·/",",~.: S:/Solid_Waste/CWSEPTAGE/FORMS/2014 FirmApplication/WWTP Authorization Form 2014 'I t ,r i ,\',\I J i ~j ~ PAID INVOICE #: NCS‐01437‐2021  PERMIT #: NCS‐01437  AMOUNT: $550  PAYMENT METHOD: e‐check  DATE: 12/24/2020    Chester Cobb