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HomeMy WebLinkAboutNCS01531_2021Permit_Initial2021 Permit and Registration Piedmont Septic Pumping is hereby issued a Septage Management Firm Permit, Permit Number NCS-01531 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.North Harnett Regional WWTP, Lillington NC 2.Cross Creek WRF/Rockfish Creek WFR, Fayetteville 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 Piedmont Septic Pumping LLC The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01531 Enter the five digits following the NCS # City Lillington State / Province / Region N.C. Postal / Zip Code 27546 Country U.S. Street Address 3868 Spring Hill Church road Address Line 2 Harnett Yes No 919-498-5950 Currinmatt@yahoo.com Owner Info Matt Currin Yes No 919-498-5950 Operator Info Matt Currin Yes No 919-498-5950 -----Firm name on record does not include LLC JRB 04202021 Amount in gallons * DomesticDomestic Portable Toilet WastePortable Toilet Waste Grease (Restaurant)Grease (Restaurant) Treatment PlantTreatment Plant Industrial/CommercialIndustrial/Commercial 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. Mail forms to: Type and amount of septage pumped in the last 12 months 45,000 0 0 0 0 North Carolina counties of operation Harnett County Cumberland N.C. Vehicle Info Yes No 12/15/2020 01531 Add vehicles individually Upload List Domestic Septage Ya155169 WGDM9C1W1JV702032 2,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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** Harnett r water 12/31/2020 9062C0DD- 9E1C-4335- AF0A- C7C4820B616C.… 3.58MB Pwc 12/31/2020 015D1D2F- BF4C-4390- BA27- 42AFE0FC4B12.… 4.05MB Yes No Yes No Yes No Septage Management Firm Operator Training Completed 9/22/2020 6 Shalotte N.C. 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 Comments or notes Signature Date Print Name**Title** Thank you for all the help this year have a great year Merry Christmas! 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 12:56:06 AM Matt Currin Owner PAID INVOICE #: NCS‐01531‐2021  PERMIT #: NCS‐01531  AMOUNT: $550  PAYMENT METHOD: e‐check  DATE: 12/15/2020    Chester Cobb