NCS01478_2021Permit_Initial

2021
Permit and Registration

C's Septic Tank
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01478
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. Norman H Larkin, WWTP, Clinton, NC 2. Central Johnston County Regional WWTP, Smithfield 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?**
Mailing Address**
Phone**Fax
Email**
Firm owner's name**
Mailing address same as street address of office?**
Mailing Address**
Firm Info
C's Septic
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01478
Enter the five digits following the NCS #
City
Four Oaks
State / Province / Region
NC
Postal / Zip Code
27524
Country
US
Street Address
429 Go Cart Rd
Address Line 2
Johnston
Yes No
City
Four Oaks
State / Province / Region
NC
Postal / Zip Code
27524
Country
US
Street Address
525 Go Cart Rd
Address Line 2
9192910865
[e-mail]
Owner Info
Robin Daughtry
Yes No
Phone**Fax
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**
City
Four Oaks
State / Province / Region
NC
Postal / Zip Code
27524
Country
US
Street Address
525 Go Cart Rd
Address Line 2
9192910865
Operator Info
Coty Lewis operator / driver
Yes No
919-262-3045
Type and amount of septage pumped in the last 12 months
200,000
0
0
0
0
North Carolina counties of operation
Johnston And Sampson
Vehicle Info
Yes No
12/1/2020
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.
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
owner
Add vehicles
individually
Upload List
Domestic Septage JM 7962 1FVACWDC46HX01612 2,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Johnston County 12/31/2021 Untitled[23].…66.24KB
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
1/11/2020 4
Raliegh
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
11/20/2020 4
Raliegh
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Print Name**Title**
NC Pumper Group & NC Portable Toilet Group
Registration Type
Registered Portable Sanitation Firm
Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments and Notes
I will send Sampson County Authorization form over once I receive it from
them.
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.
12/1/2020
06:48:45 AM
Robin Daughtry owner
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Departmen t of Environment and Natural Resources
Division of Waste Management -Solid Waste Section
401 Oberlin Rd., Ste. 150, Raleigh , N.C . 27605
Fee assessments and 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. Septage cannot be brought in from outs ide of the County.
I, John D. Wall-Central Johnston County Regional Wastewater Treatment Plant
(Plant Operator and Name of Plant)
Post Office Box 2263 Smithfield North Carolina 27577
(Address)
~(9_1_9~) 9_8_9-_50_7_5 ______ do hereby authorize ________________ _
(Phone Number) (Owner/Operator of Septage Management Firm)
of C's Septic Pumping NCS# 1478
(Septage Management Firm Name and NCS number)
525 Go Cart Road, Four Oaks, NC 27524
(Address)
to dispose of: domestic septage ____ , portable toilet waste ____ _
grease septage (grease trap pumpings) ___ commercial/industrial septage * , from
*requires pre-approval from Johnston County
Johnston County, North Carolina
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Johnston County Sludge Handling Facility, 680 County Home Road, Smithfield, North Carolina
(Location)
between the hours of 8:00 A.M. thru 4:45 P.M.-Monday through Friday .
Reintroducing partially treated liquid into a grease trap is acceptable __ Yes J._No
This authorization shall be valid until _D_ec_e_m_be_r_3_1 _20_2_1 ____________ _
Signed //JL !J. {Jcd.J
John D~rator)
(Usually December 31, Year)
Date 12/(/20
Sworn to and subscribed before me this __ __.\_:1-+-______ day of UC -0-~ 80
::C'».ca-~ My Commission expires: -----'-4--'-1---=2~3 _
Nancy House (S J,!N~o~ta[:£.rv.t:J PiJOl!C. ,hli'r\ i-:-'.'.""".'""."'7:::::-:-:::-:::---7
NANCY HOUSE
(OFFICIAL SEAL) NOTARY PUBLIC
JOHNSTON COUNTY, N.C.
My Commission Expires 4-i-2023.
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
1
Cobb, Chester
From:Nancy House <[e-mail]>
Sent:Thursday, December 03, 2020 8:11 AM
To:Cobb, Chester
Subject:Re: [External] Fwd: Renewal app C's Septic Tank Pumping
CAUTION: External email. Do not click links or open attachments unless you verify. Submit all suspicious email using the Phish Alarm 
button or as an attachment to Report Spam. 

Chester,  

Only domestic septic tanks and porta toilets. All must come from Johnston County. We do not accept waste from other 
counties or towns outside of Johnston Country.   

On Wed, Dec 2, 2020 at 12:18 PM Cobb, Chester <[e-mail]> wrote: 
Robin and Nancy, 

Hello.  Hope all is well with you.  There was a WWTP Authorization from Central Johnston County Regional WWTP 
attached to the email I received from Robin.  None of the waste types were checked with the exception of 
commercial/industrial septage that “requires pre‐approval from Johnston County.”  Of the other waste types of 
domestic septage, portable toilet waste, or grease septage, what can C’s Septic Pumping dispose at the plant? 

Thanks, 

Chester 

PAID
INVOICE #: NCS-01478-2021
PERMIT #: NCS-01478
AMOUNT: $550
PAYMENT METHOD: e-card
DATE: 12/2/2020

Chester Cobb