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HomeMy WebLinkAboutNCS01380_2021Permit_Initial 2021 Permit and Registration Drain-Pro NC is hereby issued a Septage Management Firm Permit, Permit Number NCS-01380 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. Rocky River Regional WWTP, Concord 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 Drain-Pro Inc The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-1380 Enter the five digits following the NCS # City Gastonia State / Province / Region North Carolina Postal / Zip Code 28052 Country United States Street Address 1405 Shannon Bradley Rd Address Line 2 Gaston Yes No City Gastonia State / Province / Region NC Postal / Zip Code 28052 Country Gaston Street Address PO Box 855 Address Line 2 980-251-1033 deric@drain-proinc.com Owner Info Jeff Miller Yes No Phone**Fax Firm operator's name**Firm operator's title Mailing address same as street address of office?** Mailing address** 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 City Puyallup State / Province / Region Washington Postal / Zip Code 98371 Country United States Street Address 5111 85th Ave E Address Line 2 980-251-1033 Operator Info Deric Boggs Manager Yes No City Gastonia State / Province / Region NC Postal / Zip Code 28053 Country United States Street Address PO 855 Address Line 2 9804750031 Type and amount of septage pumped in the last 12 months 21,600 426,400 160 0 0 North Carolina counties of operation Gaston, Cleveland, Mecklenburg, Lincoln, Catawba, Iredell, Cabarrus Union Vehicle Info Yes No there significant penalties for false certification including the possibility of fine and imprisonment." Signature Date** Title** Choose how to add vehicle descriptions** Upload vehicle list** 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** 12/11/2020 Manager Add vehicles individually Upload List You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag #, Vehicle Identification #, and Tank Capacity. TRUCK LIST FOR DUMP SITE 2021.docx 19KB Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Charlotte Water McAlpine Creek 12/31/2020 Rocky River Regional Wastewater Treatmet Plant 12/31/2021 Yes No Yes No Yes No Septage Management Firm Operator Training Completed 9/11/2020 4 2400 s Sterling st Morganton NC Training Sponsored or Provided by** 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 I have not received my authorization to discharge at McApine creek, I was told they were mailed I enclose my check #45883 in the amount of $800 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. 12/11/2020 03:22:31 PM Deric Boggs Boggs DP-226 2015 FORD F550 HY1803 1FDUF5GY7FEA83541 WHITE 650 GALLONS PORTABLE RESTROOMS DP-503503 2018 FORD F550 HY1973 1FDUF5GT6JEC12690 RED & SILVER 650 GALLONS PORTABLE RESTROOMS DP-221 2000 INTERNATIONAL 4700 HY1802 1HTSCAAL8YH283651 WHITE 600 GALLONS PORTABLE RESTROOMS DP-501 2012 PETERBILT 367 YA142639 1NPTP4EX7CD137822 RED 4100 GALLONS SEPTIC DP-504 1987 MACK R5688LST YA142653 1M2T159Y6HM003548 RED & SILVER 3000 GALLONS SEPTIC DP-5042018 HINO 268 JX 4435 5PVNJ8JJ4J4S50540 WHITE & SILVER 1500 GALLON PORTABLE RESTROOMS DP-505 2001 INTERNATIONAL 4900 KD 6047 1HTSDAAL21H351185 WHITE SILVER480 GALLON PORTABLE RESTROOMS