NCS00879_2021Permit_Initial

2021
Permit and Registration
Harnett Regional Water
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00879
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.N. Harnett Regional WWTP
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?**
Phone**Fax
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
Phone**Fax
Firm Info
HARNETT REGIONAL WATER
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS#00879
Enter the five digits following the NCS #
City
LILLINGTON
State / Province / Region
NC
Postal / Zip Code
27546
Country
USA
Street Address
700 MCKINNEY PARKWAY
Address Line 2
Harnett
Yes No
910-893-7575
[e-mail]
Owner Info
HARNETT REGIONAL WATER
Yes No
9108937575
Operator Info
RANDOLPH CLEGG COLLECTION SYSTEM SUPERVISOR
Yes No
910-893-7575
Amount in gallons *
DomesticDomestic
Portable Toilet WastePortable Toilet Waste
Grease (Restaurant)Grease (Restaurant)
Treatment PlantTreatment Plant
Industrial/CommercialIndustrial/Commercial
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**
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.
Type and amount of septage pumped in the last 12 months
1,000,000
0
0
0
0
North Carolina counties of operation
HARNETT COUNTY
Vehicle Info
Yes No
6/15/2021
COLLECTION SYSTEM SYPERVISOR
Add vehicles
individually
Upload List
Domestic Septage 59318-V 1FUYDDYB8UP940043 3,000
Domestic Septage 59316-V 1GBP7H1J7NJ105981 1,800
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Expiration Date*Authorization
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
7/1/2021
10/31/2022
Mail forms to:
NC DEQ
Division of Waste Management - Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Wasterwater Treatment Facility Name*
NORTH HARNETT REGIONAL WWTP
SOUTH HARNETT REGIONAL WWTP
Septage Land Application Sites (SLAS)**
Yes No
Septage Detention or Treatment Facility (SDTF)**
Yes No
Other disposal method**
Yes No
Septage Management Firm Operator Training Completed
6/21/2021 4
VIRTUAL
NC DEQ - New Operator Training
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
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.
Randolph Clegg will
take New Operator class
on July 21st to meet Cont, ed requirement.
JRB 6/15/2021
--------------------------------------------------No authorization submitted
for SHRWWTP
JRB 6/18/2021
Signature
Date
Print Name**Title**
6/15/2021
10:14:45 AM
RANDOLPH CLEGG COLLECTION SYSTEM SUPERVISOR