NCS01048_2021Permit_Initial

2021
Permit and Registration

B-Line Portable Restrooms
Rentals Inc.
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01048
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. City of Hickory WWTP, Hickory 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
NC SEPTAGE MANAGEMENT FI則M
Recerti範cation of Pumper Vehic量e(S)
s。Ptag。 Fi。m P。.mit#‥　　NCS。 OIC鵜
NumberofPumpe「Vehic!es‥　まL　　　　　　　　臆喜一
CERT肝漢CAT書ON :
’`! certify, under penalty of Iaw, that the pumpe「 vehic看e o「 vehicles listed in the
Submitted permit application meet the requi「ements fo「 safe and sanitary
transportation of septage as 「equi「ed by1 5A NCAC 1 3B.0844 (a) and vehicle
iettering as 「equi「ed by 15A NCAC 13B.0844 (b), I a!so ce面fythat a Iog is
maintained of each septage pumplng eVent aS required by 15A NCAC 13B.0839
(a)" 1 am aware that the「e a「e signmcant penalties fo「 false ce珊cation inciuding
the possibility of fine and imp「isonment.’’
〈チん〆〆l読書をβ瑠碁石確かへ
Pri巾Name
夕一/九一
Date
Title
S:\Solid_Waste\cla\septage\foms\Pumpe「 Vehicles Ce珊cation.doc