HomeMy WebLinkAboutNCS01512_2021Permit_Initial 2021
Permit and Registration
Blu Site Solutions (Charlotte)
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01512
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. McAlpine Creek WWTP, Charlotte 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?**
Phone**Fax
Email**
Firm owner's name**
Mailing address same as street address of office?**
Mailing Address**
Phone**Fax
Firm Info
Blu Site Solutions of North Carolina, Inc
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01512
Enter the five digits following the NCS #
City
Charlotte
State / Province / Region
NC
Postal / Zip Code
28269
Country
USA
Street Address
4250 Trailer Dr
Address Line 2
Mecklenburg
Yes No
704-995-2149 910-324-6578
tritter@blusitesolutions.com
Owner Info
Adco Holdings, Inc
Yes No
City
Cumming
State / Province / Region
GA
Postal / Zip Code
30004
Country
USA
Street Address
2310 Pendley Rd
Address Line 2
910-330-9733 910-324-6578
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
there significant penalties for false certification including the possibility of fine and imprisonment."
Signature
Date**
Operator Info
Terry Ritter VP of Operations
Yes No
City
Jacksonville
State / Province / Region
NC
Postal / Zip Code
28540
Country
USA
Street Address
5680 Richlands Hwy
Address Line 2
910-330-9733 910-324-1420
Type and amount of septage pumped in the last 12 months
0
364,000
0
0
0
North Carolina counties of operation
Mecklenburg, Union, Anson, Stanly, Cabarrus, Gaston, Cleveland, Lincoln,
Rowan, Iredell, Catawba
Vehicle Info
Yes No
5/4/2021
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**
VP of Operations
Add vehicles
individually
Upload List
Portable Toilet Waste NC HK5529 5PVNJ8JV9H4S66424 1,100
Portable Toilet Waste NC FK2401 1FDUF5GT6JEB44200 750
Portable Toilet Waste NC JX 4477 1FDUF5GT9KDA24642 800
Portable Toilet Waste temp 23272B 1HTKSSWK9LH607885 850
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Water and Sewer Authority Cabarrus
County
12/31/2021
MCWWTP 12/31/2021
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
5/18/2018 8
FAYETTEVILLE
NC DEQ - New Operator Training
Date Hours
Location
Training Sponsored or Provided by
Select one**
Comments or notes
Signature
Date
Print Name**Title**
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
The permit was paid for in the original submittal of our other 2 permits in
Raleigh and Jacksonville.
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.
5/4/2021
09:27:07 AM
TERRY RITTER VP OF OPERATIONS