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Home My WebLink AboutNCS01499_2021Permit_Initial 2021 Permit and Registration Stillwater Septic Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-01499 And by virtue of completing the annual training requirements is hereby registered as a Portable Sanitation & 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-92-12 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 Stillwater Septic Service Sewer & Drain Cleaner Inc The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01499 Enter the five digits following the NCS # City Lusby State / Province / Region MD Postal / Zip Code 20657 Country Calvert County Maryland Street Address 13150 Joy Rd Address Line 2 Out-of-State Yes No City Lusby State / Province / Region Maryland Postal / Zip Code 20657 Country Calvert county Street Address PO BOX 359 Address Line 2 410-394-0824 410-3941678 stillwaterseptic@hgues.net Owner Info Troy Johnson Sr 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 .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 City Lusby State / Province / Region Maryland Postal / Zip Code 20657 Country Calvert Street Address PO BOX 359 Address Line 2 410-394-0824 410-394-1678 Operator Info Troy Johnson Sr Owner Yes No City Lusby State / Province / Region MD Postal / Zip Code 20657 Country Calvert County MD Street Address PO Box 359 Address Line 2 410-394-0824 410-394-1678 Type and amount of septage pumped in the last 12 months 0 0 85,000 0 0 North Carolina counties of operation Raleigh NC / Wake county NC 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)** Septage Detention or Treatment Facility (SDTF)** Other disposal method** Date**Hours** Location** Training Sponsored or Provided by** 4/21/2021 Owner Add vehicles individually Upload List Grease (restaurant)359 E 38 MD 1NKZX4T1JR183830 5,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Grease outlet 12/31/2021 Yes No Yes No Yes No Septage Management Firm Operator Training Completed 9/11/2020 4 Morganton NC 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 0 Registration Type Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes I Mail this in back in Dec of 2020 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. 4/21/2021 05:05:45 AM Troy Johnson SR Owner 1 Cobb, Chester From:G M <gm@greaseoutlet.com> Sent:Wednesday, December 30, 2020 12:31 PM To:Cobb, Chester; Wylie, Connie; Chip Haskell Subject:[External] 2021 Authorization to discharge forms for Grease Outlet.com Attachments:2021 permitted septage management firms using Grease Outlet.com LLC.pdf CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam.