HomeMy WebLinkAboutNCS01165_2021Permit_Initial 2021
Permit and Registration
Fontana Lake Waste Recovery, Inc.
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01165
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. Septage Detention or Treatment Facility, SDTF-38-01 & SDTF-38-02
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
Fontana Lake Waste Recovery
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01165
Enter the five digits following the NCS #
City
Bryson City
State / Province / Region
NC
Postal / Zip Code
28713
Country
US
Street Address
7230 Grassy Br Rd
Address Line 2
Swain
Yes No
8285938108
alarkaboatdock@gmail.com
Owner Info
Tony Sherrill
Yes No
828-593-8108
Operator Info
Tony Sherrill owner
Yes No
8285938108
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**
Title**
Choose how to add vehicle descriptions**
Pumper Vehicles
Usage*License Tag #*Vehicle Identification #*Tank Capacity*
Approved wastewater treatment plant **
Type and amount of septage pumped in the last 12 months
0
102,000
0
0
0
North Carolina counties of operation
Swain Co Graham Co
Vehicle Info
Yes No
2/14/2021
owner
Add vehicles
individually
Upload List
Domestic Septage NC 0502 DB Som27951A 505 450
Domestic Septage NC 5087 DC Som27958B 505 450
Domestic Septage NC 5086 DC Som 28127C 505 450
Domestic Septage NC 5148 DC Som 27953A 505 450
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
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**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Yes No
Yes No
Yes No
SDTF-38-02 12/9/2024
SDTF-38-01 12/9/2024
Yes No
Septage Management Firm Operator Training Completed
9/10/2020 40
Morganton NC 2400 S Sterling ST./Hwy.18 28655
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
My pumping is from a boat not a truck
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.
Date
Print Name**Title**
2/14/2021
11:29:57 AM
Tony Sherrill Owner
PAID Permit Fee
INVOICE #: NCS‐01165‐2021
PERMIT #: NCS‐01165
AMOUNT: $800
PAYMENT METHOD: paper check
DATE: 2/22/2021
Chester Cobb
PAID Late Fee
INVOICE #: NCS‐01165‐2021LF
PERMIT #: NCS‐01165
AMOUNT: $400
PAYMENT METHOD: e‐check
DATE: 44253
Chester Cobb