NCS01548_2021Permit_Initial

2021
Permit and Registration

Griffin Waste Services of
Charlotte
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01548
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. 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
Griffin Waste Services Of Charlotte
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01548
Enter the five digits following the NCS #
City
LOWELL
State / Province / Region
NORTH CAROLINA
Postal / Zip Code
28098
Country
Gaston
Street Address
400 Oakland Dr Ste A
Address Line 2
Gaston
Yes No
7048257878
[e-mail]
Owner Info
Samuel Story
Yes No
7048257878
Operator Info
Samuel Story Owner
Yes No
7048257878
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 **
Type and amount of septage pumped in the last 12 months
0
78,000
0
0
0
North Carolina counties of operation
Gaston, Mecklenburg, Union, Lincoln, Cabarrus
Vehicle Info
Yes No
1/14/2021
Owner
Add vehicles
individually
Upload List
Portable Toilet Waste NA 3C7WRNBL6KG540443 900
Portable Toilet Waste jw7143 3C7WRLBL8HG668213 600
Portable Toilet Waste NA 3C7WRNCL5LG143760 400
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
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
Select one**
Comments or notes
Mcalpine WWTP 12/31/2021
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
12/5/2020 4
Grantsboro County Auditorium
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.
Signature
Date
Print Name**Title**
1/14/2021
03:50:30 AM
Samuel Story Owner
2021
CHARLOTTE
W6TER
System Protection
Flow Free
4222 Westmont Drive
Charlotte, NC 28217
704.336.4783
PUMP and HAUL PERMIT FOR:
Sepfage and Portable Toilet Waste, seruice and transport
Griffin Waste Services
Charlotte Water Septage Hauler Permit Number: SH #013
The above stated company is hereby permitted to service and transport septage and
portable toilet waste within Mecklenburg County to a permitted and licensed disposal
facility. Such operations shall comply with all applicable Federal, State and local
regulations, the provisions of the City of Charlotte Sewer Use Ordinance and the
conditions herein.
Effective Date of Permit
Januarv 1,2021
Expiration Date of Permit
December 31, 2021
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Date
Bill Gintert
Environmental Compliance Manager
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