NCS00737_2021Permit_Initial

2021
Permit and Registration
Bobby Davis Jr Septic Tank Service
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00737
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.North Durham WRF, Durham NC
2.South Durham WRF, Chapel Hill NC
3.Neuse River Resource Recovery Facility, Raleigh NC
4.Septage Detention or Treatment Facility, SDTF-92-12
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
Bobby Davis Jr. Septic Tank Service
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00737
Enter the five digits following the NCS #
City
Morrisville
State / Province / Region
NC
Postal / Zip Code
27560
Country
United States
Street Address
5835 Family Farm Rd
Address Line 2
Wake
Yes No
9194816929
[e-mail]
Owner Info
Bobby Davis Jr
Yes No
9194816929
Operator Info
Bobby Davis Jr Owner
Yes No
9194816929
Amount in gallons *
DomesticDomestic
Portable Toilet WastePortable Toilet Waste
Grease (Restaurant)Grease (Restaurant)
Treatment PlantTreatment Plant
Industrial/CommercialIndustrial/Commercial
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**
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:
Type and amount of septage pumped in the last 12 months
2,000,000
0
200,000
0
50,000
North Carolina counties of operation
Wake, Durham, Orange, Johnston, Harnett, Lee, Person, Granville, Franklin,
Chatham
Vehicle Info
Yes No
12/30/2020
Owner
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.
Pump Truck List 07132020.pdf 33.38KB
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Expiration Date*
Other disposal method**
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
12/31/2021 165.17…
12/31/2021 165.17…
Authorization
2021 Pumper
Application
Credit Hours
and Discharge
Authorize
2.pdf
2021 Pumper
Application
Credit Hours
and Discharge
Authorize
2.pdf
NC DEQ
Division of Waste Management - Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Wasterwater Treatment Facility Name*
Neuse River WWTP
North Durham WWTP
Septage Land Application Sites (SLAS)**
Yes No
Septage Detention or Treatment Facility (SDTF)**
Yes No
Yes No
Septage Management Firm Operator Training Completed
11/10/2020 4
Smithfield, NC
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
0
Grease Outlet SDTF-92-12 JRB 2/3/2021
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Print Name**Title**
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.
12/30/2020
08:01:48 AM
Bobby Davis Jr Owner
1
Cobb, Chester
From:G M <[e-mail]>
Sent:Wednesday, December 30, 2020 12:31 PM
To:Cobb, Chester; Wylie, Connie; Chip Haskell
Subject:[External] 2021 Authorization to discharge forms for Grease Outlet.com
Attachments:2021 permitted septage management firms using Grease Outlet.com LLC.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to 
Report Spam. 
PAID
INVOICE #: NCS‐00737‐2021 
PERMIT #: NCS‐00737 
AMOUNT: $800 
PAYMENT METHOD: e‐check 
DATE: 12/31/2020 
Chester Cobb