HomeMy WebLinkAboutNCS00261_2021Permit_Initial 2021
Permit and Registration
Rogers Septic Tank Service
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00261
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. Septage Detention or Treatment Facility, SDTF-74-14
2. Septage Detention or Treatment Facility, SDTF-98-08
3. Greenville Utilities WWTP, Greenville 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?**
Mailing Address**
Phone**Fax
Email**
Firm owner's name**
Mailing address same as street address of office?**
Mailing Address**
Firm Info
rogers septic service
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00261
Enter the five digits following the NCS #
City
Greenville
State / Province / Region
NC
Postal / Zip Code
27834
Country
United States
Street Address
309 Family Lane
Address Line 2
Pitt
Yes No
City
Greenville
State / Province / Region
NC
Postal / Zip Code
27858
Country
United States
Street Address
PO Box 7032
Address Line 2
12527585164
cbrogers@rogerssts.net
Owner Info
Chester Rogers
Yes No
Phone**Fax
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
Mailing address**
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 .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
City
Greenville
State / Province / Region
North Carolina
Postal / Zip Code
27858
Country
United States
Street Address
PO Box 7032
Address Line 2
12527585164
Operator Info
Chester B. Rogers CEO
Yes No
City
Greenville
State / Province / Region
North Carolina
Postal / Zip Code
27858
Country
United States
Street Address
PO Box 7032
Address Line 2
12527585164
Type and amount of septage pumped in the last 12 months
551,000
0
96,000
0
0
North Carolina counties of operation
Pitt, Greene, Wilson, Edgecombe, Martin, Beaufort, Lenoir, Wayne
Vehicle Info
Yes No
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:
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)**
If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each
site.
SLAS #*Expiration Date*Authorization
Septage Detention or Treatment Facility (SDTF)**
If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for
each site.
2/15/2021
CEO
Add vehicles
individually
Upload List
Domestic Septage ya148331 1FDZY90X0VVA11829 3,500
Domestic Septage YA108507 1FDPT84A9HVA64605 2,300
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
GUCWWTP 12/31/2021
Yes No
SLAS-98-08 12/31/2021
Yes No
SDTF #*Expiration Date*Authorization
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
Date
Print Name**Title**
SDTF-74-14 12/31/2025
Yes No
Septage Management Firm Operator Training Completed
6/13/2020 4
Grantsboro
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
I am the landowner of the detention site so really no expiration date. I just
put 2025.
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.
2/15/2021
02:00:00 PM
Chester B. Rogers CEO
AJTHORIZATION TO DISCHARGE SEPTAGE A丁A SEPTAGE TREAT朋ENT OR
STORAGE FACIL書TY PER脚TTED TO SOMEONE OTHER THAN YOJRSELF
IThis form is used by a detenton or treatmentfac岬y pe「mit hoide「 to刷cate that permission has been give[ tO a Pe「mifed
Septage Management Firm to discha「ge septage into the permit holde「s detenton or treatment faci時)
Daniel L Newsome
(Fac岬y Operato「)
441 Buck Newsome Rd. Fremo[t, NC 27830
 ̄  ̄ ̄ ̄ ̄-- ̄ ̄ ̄ ̄ ̄  ̄ ̄  ̄  ̄ ̄  ̄ ̄ ̄ ̄ ̄ ̄ ̄ ̄ ̄  ̄ ̄ ̄ ̄  ̄ ̄ ̄ ̄ ̄ ̄ ̄ ̄ ̄て斬る高市礪オー ̄ ̄ ̄ ̄一〇 ̄  ̄  ̄  ̄  ̄ ̄ ̄  ̄へ ̄ ̄ ̄ ̄ ̄ ̄  ̄ ̄  ̄ ̄ ̄ ̄ ̄ ̄ ̄  ̄ ̄  ̄ ̄ ̄【  ̄ ̄ ̄  ̄ ̄ ̄ ̄
Cheste「 Rogers
do he「eby authorize:
Rogers Septic Tank Se「
(Owne「 of Septage Management Fi「m)
NCS#
(Name of Septage Management Fi「m)
309 Fam=y Lane G「eenv帥e, NC 27834
(Add「ess of Septage Manageme[t Fi「m)
(00953)
98-08
to u刷Ze SePtage detention or treatment fac冊y #for the treatment or sto「age of septage *
in 2921_・ Th? f釣冊y w用Pe 9P?rat?g in錐C9喧npe with th9?eptage M争nag?m?nt Ruies tt
10-01-20
Date:
“ As de軸ed in G,S, 130A"290(a)(32〉
拙As defined in 15A NCAC 13B ,0800
Retu「n the properIy completed form to:
No輔Ca「o冊a Department of EFwi「onment a[d Natu「al Resou「ces
Division of Waste Management
Soiid Waste Section
1646 Ma= Service Cente「
Raieigh, NC 27699-1646
PAID Permit Fee
INVOICE #: NCS‐00261‐2021
PERMIT #: NCS‐00261
AMOUNT: $800
PAYMENT METHOD: e‐check
DATE: 2/16/2021
Chester Cobb
PAID Late Fee
INVOICE #: NCS‐00261‐2021LF
PERMIT #: NCS‐00261
AMOUNT: $400.00
PAYMENT METHOD: e‐check
DATE: 2/16/2021
Chester Cobb