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HomeMy WebLinkAboutNCS01532_2021Permit_Initial 2021 Permit and Registration Kincaid Septic Tank Service & Drainfield Repair is hereby issued a Septage Management Firm Permit, Permit Number NCS-01532 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. Lower Creek WWTP, Lenoir NC 2. Catawba Water Pollution Control Facility, Morganton NC 3. Corpening Creek WWTP, Marion 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 Kincaid's Septic & Drain field Repair The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01532 Enter the five digits following the NCS # City Connelly Springs State / Province / Region NC Postal / Zip Code 28612 Country United States Street Address 1331 Malcolm Blvd Address Line 2 Burke Yes No 18284460542 kincaid.kenny@yahoo.com Owner Info Kenneth Kincaid Yes No 18284460542 Operator Info Kenneth Kincaid owner/operator Yes No 18284460542 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. Mail forms to: Type and amount of septage pumped in the last 12 months 44,600 0 0 0 0 North Carolina counties of operation Burke, Caldwell, Catawba, Cleveland, Alexander Vehicle Info Yes No 10/22/2020 owner/operator Add vehicles individually Upload List Domestic Septage YA155975 1HTSDZZNXLH225762 0 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** Comments or notes Signature Septage Receiving station at Lower Creek WWTP 12/31/2020 lenoir city sewer.pdf 629.96… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 9/12/2020 0 Morganton Quality Inn NC Pumper Group & NC Portable Toilet Group 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 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. Date Print Name**Title** 10/22/2020 08:30:26 PM Kenneth Kincaid owner/operator PayPoint Payment Receipt Application: Solid Waste Merchant: NDENR-Solid Waste Merchant City/State: Raleigh, North Carolina Payment Status: Success Result Message: Success Confirmation Number: 20102210132758 Payment Date: 10/22/2020 Posting Date: 10/22/2020 Billing Information: KENNETH KINCAID 1331 Malcolm Blvd 1331 Malcolm Blvd Connelly Springs, NC 28612 8284460542 kincaid.kenny@yahoo.com Payment Amount: 550.00 USD Account#: Routing#: Account Type: Checking Page 1 of 1 Reference Information: NCS-01532-2021,28612,Kincaid Septic Tank Service & Drainfield Repair,1331 Malcom Blvd,Connelly Springs,NC,NCS-01532,$550.00 Disclaimer: No convenience fee is charged for using the eCheck payment method. However, a processing fee of $25.00 or 10% of the amount of the eCheck, whichever is greater-, will be charged for an eCheck returned due to insufficient funds. Payments are null and void if payment is made with an eCheck that is returned unpaid by the bank. https:/ /admin. thepayplace.com/epayadmin/paymentreceipt.aspx 10/23/2020