HomeMy WebLinkAboutNCS00823_2021Permit_Initial 2021
Permit and Registration
General Maintenance Inc.
is hereby issued a Septage Management Firm Permit, Permit Number NCS-00823
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. Domtar Company WWTP, Plymouth 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?**
Phone**Fax
Firm Info
General Maintenance Incorporated
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00823
Enter the five digits following the NCS #
City
Plymouth
State / Province / Region
NC
Postal / Zip Code
27962
Country
USA
Street Address
1445 Garretts Island Rd
Address Line 2
Washington
Yes No
City
Plymouth
State / Province / Region
NC
Postal / Zip Code
27962
Country
USA
Street Address
PO Box 578
Address Line 2
252 793-2770
saunders@greenvillenc.com
Owner Info
Robert Saunders
Yes No
252 793-2770
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
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
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*
Operator Info
Jeannine Saunders VP
Yes No
252 809-3067
Type and amount of septage pumped in the last 12 months
0
8,010
0
0
0
North Carolina counties of operation
Washington, Martin
Vehicle Info
Yes No
5/18/2021
5-1-21
Add vehicles
individually
Upload List
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**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Portable Toilet Waste BN4498 1HTSAZPM74T2438 1,500
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Domtar wastewater 12/31/2021 Scan.pdf 245.78…
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
12/5/2020 4
Grantsboro NC
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 or notes
Signature
Date
Print Name**Title**
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.
5/18/2021
01:22:31 AM
Jeannine Saunders VP
Payment Receipt
Application: Solid Waste
Merchant: NDENR-Solid Waste
Merchant City/State: Raleigh, North Carolina
Payment Status: Success
Result Message: Success
Confirmation Number: 21051844666401
Payment Date: 05/18/2021
Posting Date: 05/18/2021
Billing Information: General Maintenance IncPO Box 578Plymouth, NC 27962
2527932770saunders@greenvillenc.com
Payment Amount: 275.00 USD
Account #: x025
Routing #: 054000030
Account Type: Checking
Reference Information: NCS-00823-2021LF,27962,General Maintenance Inc,PO Box 578,Plymouth,NC,NCS-00823,$275.00
Disclaimer: No convenience fee is charged for using the eCheck payment method. However, a processing fee of $25.00 or 10% of the amount of the eCheck, whichever is greater, will be charged for an eCheck returned due to
insufficient funds. Payments are null and void if payment is made with an eCheck that is returned unpaid by
the bank.
Page 1 of 1PayPoint
5/19/2021https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx
Late Fee Washington County
Export 05-19-2021
PAID Permit Fee
INVOICE #: NCS‐00823‐2021
PERMIT #: NCS‐00823
AMOUNT: $550
PAYMENT METHOD: e‐check
DATE: 3/15/2021
Chester Cobb
PAID Late Fee
INVOICE #:
PERMIT #:
AMOUNT:
PAYMENT METHOD:
DATE:
Chester Cobb