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HomeMy WebLinkAboutNCS00855_2021Permit_Initial 2021 Permit and Registration Driggers Pumping Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-00855 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. City of Asheboro WWTP 2. City of High Point Eastside WWTP 3. TZ Osborne Water Reclamation Facility 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 Driggers Pumping Service The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00855 Enter the five digits following the NCS # City Trinity State / Province / Region NC Postal / Zip Code 27370 Country United States Street Address 956 Harris Rd Address Line 2 Randolph Yes No 3362154408 driggerspumpingservice@gmail.com Owner Info Nick Driggers Yes No 3362154408 Operator Info Nick Driggers Yes No 3362154408 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 ** 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. Type and amount of septage pumped in the last 12 months 1,080,000 0 0 0 0 North Carolina counties of operation Forsyth, Guilford, Davidson, Randolph, Alamance Vehicle Info Yes No 12/14/2020 Owner Add vehicles individually Upload List Domestic Septage YA151469 1HSHXAHRXAJ263221 3,000 Domestic Septage YA55144 1M1AA13Y4YW216464 3,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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 Training Sponsored or Provided by Select one** Comments or notes City of Asheboro WWTP 12/31/2021 Authorization…63.19KB City of High Point WWTP 12/31/2021 WWTP-HP.pdf 607.07… TZ Osborne Water Reclamation Facility 12/31/2021 WWTP-HP.pdf 607.07… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 10/20/2020 6 Burmil Park NC Septic Tank Association 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 Signature Date Print Name**Title** 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. 12/10/2020 02:19:31 AM Nicholas Driggers Owner PAID INVOICE #: NCS‐00855‐2021  PERMIT #: NCS‐00855  AMOUNT: $800  PAYMENT METHOD: e‐check  DATE: 12/15/2020    Chester Cobb