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Home My WebLink AboutNCS00336_2021Permit_Initial 2021 Permit and Registration Powell's Septic Tank Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-00336 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. Roanoke River WWTP, Weldon NC 2. Septage Detention or Treatment Facility: SDTF-42-04 3. Septage Land Application Site: SLAS-42-04 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 POWELL'S SEPTIC TANK SERVICE The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00336 Enter the five digits following the NCS # City ROANOKE RAPIDS State / Province / Region North Carolina Postal / Zip Code 27870 Country United States Street Address 3296 hwy 48 Address Line 2 Halifax Yes No City ROANOKE RAPIDS State / Province / Region NC Postal / Zip Code 27870 Country United States Street Address P. O. BOX 395 Address Line 2 2525372450 tpowellk@gmail.com Owner Info ALLIE M. POWELL III Yes No 02/19/2021 $825.00 Paid 02/16/2021 JRB Phone**Fax Firm operator's name**Firm operator's title Mailing address same as street address of office?** 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 there significant penalties for false certification including the possibility of fine and imprisonment." Signature Date** City ROANOKE RAPIDS State / Province / Region NC Postal / Zip Code 27870 Country United States Street Address P.O. BOX 395 Address Line 2 2525324799 Operator Info ALLIE M POWELL III OWNER Yes No 2525372450 2525354907 Type and amount of septage pumped in the last 12 months 55,000 0 0 0 0 North Carolina counties of operation HALIFAX, NORTHAMPTON, WARREN Vehicle Info Yes No 2/15/2021 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. 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)** If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #*Expiration Date*Authorization 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** OWNER Add vehicles individually Upload List Domestic Septage AP2636 1HT5DNSL4MH377183 1,800 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No ROANIKE RIVER WASTEWATER TREATMENT PLANT 12/21/2021 Yes No SLAS-4204 12/1/2019 Yes No SDTF-4204 12/1/2019 Yes No Septage Management Firm Operator Training Completed Date**Hours** Location** Training Sponsored or Provided by** Date Hours Location Training Sponsored or Provided by Select one** Comments or notes Signature Date Print Name**Title** 1/23/2020 4 HICKORY NC NC Septic Tank Association Septage Land Application Site Operator Training Completed 1/24/2020 3 HICKORY NC NC Septic Tank Association 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. 2/15/2021 10:29:54 AM ALLIE M POWELL II OWNER