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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