NCS01510 _2021Permit_Initial

2021
Permit and Registration
United Site Services (Raleigh)
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01510
And by virtue of completing the annual training
requirements is hereby registered as a Portable Sanitation 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.Neuse River Resource Recovery Facility
2.Central Johnston County Regional Wastewater Treatment Plant
3.Moore County Water Pollution Control Plant
4.North and South Durham Water Reclamation Facility
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?**
Mailing Address**
Phone**Fax
Firm Info
United Site Services
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01510
Enter the five digits following the NCS #
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27610
Country
USA
Street Address
708 Freedom Drive
Address Line 2
Wake
Yes No
919-524-6692
[e-mail]
m
Owner Info
United Site Services
Yes No
City
Westborough
State / Province / Region
MA
Postal / Zip Code
01581
Country
USA
Street Address
118 Flanders Road
Address Line 2
1800-864-5387
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 .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**
Upload vehicle list**
Operator Info
Nicholas Powell Operations Supervisor
Yes No
919-524-6692
Type and amount of septage pumped in the last 12 months
0
1,850,000
0
0
0
North Carolina counties of operation
Wake, Johnston, Nash, Wilson, Edgecombe, Halifax, Warren, Vance, Granville,
Durham, Orange, Person, Chatham, Lee, Harnett, Moore, Cumberland, Wayne,
Sampson, Hoke, Alamance, Greene
Vehicle Info
Yes No
4/22/2021
Operations Supervisor
Add vehicles
individually
Upload List
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**
Description*Authorization
Date**Hours**
Location**
Training Sponsored or Provided by**
You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag
#, Vehicle Identification #, and Tank Capacity.
Truck List.pdf 36.2KB
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
City of Raleigh, Neuse River Resource
Recovery Facility
12/31/2021 Neuse
River.pdf
290.91…
Central Johnston County Regional
Wastewater Treatment Plant
12/31/2021 Johnston
County.pdf
250.42…
Moore County Water Pollution Control
Plant
12/31/2026 Moore
County.pdf
547.87…
North Durham Water Reclamation
Facility
12/31/2021 Durham.pdf 1MB
Yes No
Yes No
Yes No
City of Raleigh Industrial User Pretreatment Permit Raleigh Dump
Site.pdf
1MB
Septage Management Firm Operator Training Completed
11/17/2020 4
Online
NC Pumper Group & NC Portable Toilet Group
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Print Name**Title**
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
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.
4/22/2021
05:21:02 AM
Nicholas Powell Operations Supervisor
See accompaning list from Johnston County. JRB
2020 Septic Hauler Permits -valid 1/1/20 Hauler Company Name Address 1 Citv, State Zio NCS# Domestic Septage Portable Toilet Waste Grease ~eptaae A Countywide Septic Services Inc. 373 Swift Creek Road Raeford, NC 28376 1281 A+ Septic Tank Pumping, LLC 1089 Hannah Creek Road Four Oaks, NC 27524 01271 ~ Abel Septic Tank Cleaning 1315 Old Olive Road Smithfield, NC 27577 00970 " Absolute Environmental 1755 Eastridge Road Four Oaks, NC 27524 01447 ) All American Septic 5508 Watkins Road Wendell, NC 27591 01184 ~ All County Septic 172 Cottontail Run Newport, NC 28570 01267 Anran Properties PO Box 531 Smithfield, NC 27577 01100 Aplus Septic Tank Pumping 432 Pearidge Road Willow Sorinas, NC 27592 1463 \ B & R Septic, LLC 207 Western Wayne Drive Pikeville, NC 27863 01225 K' Bailey's Septic Tank Service PO Box 925 Kniahtdale, NC 27545 00916 I( Bass Service Company 8336 Halifax Road Younasville, NC 27596 01448 Bell's Septic Tank Cleaning 1036 N NC58 Nashville, NC 27856 00469 Blu Site Solutions of NC, Inc. 138 Uzzle Industrial Drive Clayton, NC 27520 01183 Blu Site Solutions of NC, Inc. 5680 Richlands Highway Jacksonville, NC 28540 01182 Bobby Davis, Jr. Septic Tank Service 5835 Family Farm Road Morrisville, NC 27560 00737 C & C Septic Service 36 Carmil Drive Selma, NC 27576 01383 ) Carolina Trash Pickup, Inc. 56 E. Williams Street Anaier, NC 27501 01433 Chemstation, Inc. 4241 US Hwy. 70 East Smithfield, NC 27577 Wash Down Wtr ONLY C's Septic Pumping 525 Go Cart Road Four Oaks, NC 27524 1478 Donny Polly's on the Spot/Apollo Porta Potties PO Box492 Mexico, MO 65265 01417 ( Eastern Septic & Inspections 283 Pump Station Road Erwin, NC 28339 01440 ~ Fast Lane Septic Services 4008 Tilton Drive Raleiah, NC 27616 1494 First Source Septic Service 2871 N. Shiloh Road Garner, NC 27529 1467 Forever Clean Portable Restrooms & Septic Tank x y Pumping 116 W. Academy Street Fuauav-Varina, NC 27526 00986 Hardee's Septic Tank Service 1061 White Memorial Church Road Willow Sorina, NC 27592 86 Johnson's Septic Service 12232 US Hwy. 70 W Bus. Clavton, NC 27520 01280 Klebs Porta Johns 3535 Black Creek Road Four Oaks, NC 27524 00846 ,I McFarland Septic, LLC 6801 Mount Hermon Church Road Durham, NC 27705 698 Michael and Sons Services 4001 Atlantic Avenue Raleiah, NC 27604 01337 ·v Miller Environmental Group 405 S. Rogers Lane Raleiah, NC 27610 1539 ){ NC Dumpster & Waste Services 7360 NC 210 Anaier, NC 27501 1480 ( Parks Potable Toilets, Inc. PO Box 1611 Goldsboro, NC 27533 00825 X Parks Septic Tank Cleaning Service 798 Parkstown Road La Granae, NC 28551 00393 X Piedmont Septic Pumping LLC 3868 Spring Hill Church Road Lillinaton, NC 27546 1531 Precisions Septic Systems 554 Homestead Lane Anaier, NC 27501 00803 )(. Readlite & Barricade, Inc. PO Box 58280 Raleiah, NC 27658 00127 X \ SepticR-Us 480 Rock Creek Drive Milton, NC 27305 1489 \ Smale Septic, LLC 577E Dixon Road Willow Sorina, NC 27592 01375 ~ ) Stallings Septic Service 7132 Hidden Valley Trail Garner, NC 27529 00093 ~ ) Stay Clean Inc. 670 Wiggins Road Anaier, NC 27501 304 ) W2 Septic Pumping, LLC 2858 Bailey Road Coats, NC 27521 1387 ,,'\ --------------------2021----------------------------------------------------------------------------------------------------------------------------------------------------------------------< USSStill listed as Readylite and Barricade . Records need to be updated to reflect change in permit number. JRB 4/28/2021