NCS01488_2021Permit_Initial

2021
Permit and Registration

Redbox + (Durham)
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01488
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation &
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

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?**
Firm Info
Redbox Plus of the Triangle LLC DBA Redbox+ (Durham)
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01488
Enter the five digits following the NCS #
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27617
Country
USA
Street Address
9200 Bruckhaus Street
Address Line 2
Suite 201
Wake
Yes No
919-452-4291
[e-mail]
Owner Info
Keith Galloway
Yes No
919-452-4291
Operator Info
Keith Galloway President
Yes No
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 **
Septage Land Application Sites (SLAS)**
Septage Detention or Treatment Facility (SDTF)**
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**
919-452-4291
Type and amount of septage pumped in the last 12 months
0
4,500
0
0
0
North Carolina counties of operation
Durham; Orange; Wake
Vehicle Info
Yes No
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Yes No
Yes No
SDTF-68-01 12/31/2020
Yes No
Septage Management Firm Operator Training Completed
1/11/2020 4
Fairgrounds, Raleigh, NC
NC Pumper Group & NC Portable Toilet Group
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Print Name**Title**
NC Pumper Group & NC Portable Toilet Group
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
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.
2/14/2021
06:48:21 PM
Keith Galloway President
PAID Permit Fee
INVOICE #: NCS‐01488‐2021 
PERMIT #: NCS‐01488 
AMOUNT: $550 
PAYMENT METHOD: e‐check 
DATE: 2/12/2021 
Chester Cobb 
PAID Late Fee
INVOICE #: NCS‐01488‐2021LF 
PERMIT #: NCS‐01488 
AMOUNT: $275.00 
PAYMENT METHOD: e‐check 
DATE: 2/12/2021 
Chester Cobb