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Home My WebLink AboutNCS01546_2021Permit_Initial 2021 Permit and Registration BCS Fontana LLC dba Fontana Village Resort is hereby issued a Septage Management Firm Permit, Permit Number NCS-01546 And by virtue of completing the annual training requirements is hereby registered as a Portable Sanitation 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-38-04 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 Fontana Village Resort The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01546 Enter the five digits following the NCS # City Fontana Dam State / Province / Region NC Postal / Zip Code 28733 Country USA Street Address 300 Woods Rd Address Line 2 Graham Yes No City Fontana Dam State / Province / Region NC Postal / Zip Code 28733 Country USA Street Address PO Box 68 Address Line 2 828-498-2211 828-498-2345 jeremiah.williams@fontanavillage.com Owner Info BCS Fontana LLC Yes No 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 Bluff City State / Province / Region TN Postal / Zip Code 37618 Country USA Street Address 4533 Highway 11-E Address Line 2 423-538-4400 423-538-1165 Operator Info Brandon Jones Marina Manager Yes No 828-498-2017 Type and amount of septage pumped in the last 12 months 0 0 0 0 0 North Carolina counties of operation Graham Vehicle Info Yes No 12/15/2020 Title** Choose how to add vehicle descriptions** Pumper Vehicles Usage*License Tag #*Vehicle Identification #*Tank Capacity* Approved wastewater treatment plant ** 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** Controller Add vehicles individually Upload List Portable Toilet Waste NC-5153DC 27954A505 250 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Yes No Yes No SDTF-38-04 7/31/2024 Yes No Septage Management Firm Operator Training Completed 7/22/2020 4 Conference Call - Connie Wylie & Jeff Bullard NC DEQ - New Operator Training Septage Land Application Site Operator Training Completed 0 Registration Type Comments or notes Signature Date Print Name**Title** Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes Pumper Vehicle is a boat 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. 12/15/2020 01:20:17 AM Jeremiah Williams Controller PAID INVOICE #: NCS‐01546‐2021 PERMIT #: NCS‐01546 AMOUNT: $550 PAYMENT METHOD: e‐check DATE: 12/21/2020 Chester Cobb