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Home My WebLink AboutNCS00054_2021Permit_Initial 2021 Permit and Registration Autry's Backhoe/Septic is hereby issued a Septage Management Firm Permit, Permit Number NCS-00054 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. Rocky River Regional WWTP, Concord NC (06/30/2021) 2. McAlpine Creek WWTP, Charlotte NC 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 AUTRY CONCRETE The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00054 Enter the five digits following the NCS # City PINEVILLE State / Province / Region NC Postal / Zip Code 28134 Country United States Street Address 1309 CULP ROAD Address Line 2 Mecklenburg Yes No 7045048830 AUTRYSEPTIC@YAHOO.COM Owner Info STEVEN AUTRY Yes No 7045048830 Operator Info STEVEN AUTRY Owner Yes No 7045048830 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 .0835(a) and vehicle lettering as required by 15A NCAC .0835(b). Furthermore, I also certify that a log is maintained of each septage pumping event as required by 15A NCAC 13B .0836(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* Type and amount of septage pumped in the last 12 months 757,500 0 0 0 0 North Carolina counties of operation Mecklenburg Union Gaston Lincoln Iredell Cabarrus Vehicle Info Yes No 4/26/2021 Owner Add vehicles individually Upload List Domestic Septage MN-1924 IFDXF80C3SVA01960 1,600 Domestic Septage LM-4435 IHTSDAAN01H385174 2,500 Domestic Septage ND-7948 2NKHLJ9X1JM214370 3,500 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)** 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 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Charlotte Water 12/31/2021 2021 CHARLOTTE WATER PERMIT.jpeg 113.83… WSACC 6/30/2021 WSACC PERMIT 2020.jpeg 817.79… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 3/29/2021 6 HICKORY, NORTH CAROLINA NC Septic Tank Association Septage Land Application Site Operator Training Completed 0 Registration Type Select one** 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 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. 4/26/2021 11:26:40 AM Steve Autry Owner PAID Permit Fee INVOICE #: NCS‐00054‐2021 PERMIT #: NCS‐00054 AMOUNT: $800 PAYMENT METHOD: e‐check DATE: 2/19/2021 Chester Cobb PAID Late Fee INVOICE #: NCS‐00054‐2021LF PERMIT #: NCS‐00054 AMOUNT: $400.00 PAYMENT METHOD: e‐check DATE: 2/19/2021 Chester Cobb