HomeMy WebLinkAboutNCS01476_2021Permit_Initial 2021
Permit and Registration
Elegant Johns
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01476
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 Slier City WWTP, Siler 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
Elegant Johns
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01476
Enter the five digits following the NCS #
City
CHAPEL HILL
State / Province / Region
NC
Postal / Zip Code
27517-8031
Country
United States
Street Address
1224 OLD LYSTRA RD
Address Line 2
Orange
Yes No
9198195258
amanda@elegantjohns.com
Owner Info
David Schwartz/Amanda Mckee
Yes No
City
CHAPEL HILL
State / Province / Region
NC
Postal / Zip Code
27517
Country
United States
Street Address
77016 miller
Address Line 2
9198195258
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?**
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)**
Operator Info
David Schwartz owner
Yes No
9198195258
Type and amount of septage pumped in the last 12 months
0
0
0
0
0
North Carolina counties of operation
Orange, Wake, Alamance, Durham, Chatham
Vehicle Info
Yes No
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Town Of Siler City 12/31/2021
Yes No
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**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Yes No
SDTF-12/31/2021
Yes No
Septage Management Firm Operator Training Completed
11/17/2020 4
Web ex
NC DEQ - New Operator Training
Septage Land Application Site Operator Training Completed
11/17/2020 4
Webex
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
All trailers are pumped by permitted septage firm.
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.
11/17/2020
01:00:00 PM
Print Name**Title**
Amanda Mckee Owner
PAID
INVOICE #: NCS‐01476‐2021
PERMIT #: NCS‐01476
AMOUNT: $550
PAYMENT METHOD: e‐card
DATE: 12/16/2020
Chester Cobb