NCS01596_2021Permit_Initial

2021
Permit and Registration

Safari Septic LLC
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01596
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. Rocky River Regional WWTP, Concord 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.

__________________________________________________
Ed Mussler, Solid Waste Section Chief
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT -SOLID WASTE SECTION-1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The "Firm name" must be !!l!ilG1!! as it is shown on your vehicle(s).:nf r-◊r i e \-j c_ LLC.
Street address of office: \ Y \ N. G \ b 0:) Q.c\"
City: ,�,� N \ State: NC.. Zip:_7_%�) l ___ -:r ___ _
Mailng admiess (ff different): ________________ _
City: __________ State: ____ Zlp: ______ _ Phone: JDY 971 ghS] Fax: ________ _ E-Mal: $� � Se.Q 'L l \ G @)�I • C.,o(Y\
County: :r: \ e de l \ Septage Management Ffm perrrit number: NCS II __
(2.) F;m owner-s name: tv\)C \( G f'\f'-t-, 0
Mailng address (If different): ________________ _
City: _________ _ ___ Zip: ______ _ Phone: ----------
( 3.) Firm operator's name:..__�'-+--.......... ___.._.........., ______ Fim operator's lie: O�( lu('t:(fA'>rb(
MaRlng address (H different): ________________ _
City: __________ State: ___ Zip: ______ _ Phone: __________ Fax: __________ _ (4.) Type(s) ol septage pumped: Write in the number of gallons pumped in 2015 (Example: Domestic: 50,000).
Domestic Portable T ollet Waste Treatment Plant lnduslltal/Commercial
(List each county you do business in)
(6.) Total Number of Pumper Vehicles Operated:__._ ____ _ Number used for: Domestic Septage=�--Grease (restaurant): 0Other:______ Portable Tolet Waste-: "'"l) __ _ Vehicle Information: (use addlonal pape, If needed)
1 2 3 : ��<.....:...--'---------'------------.L.......-----------.-------c:::ill'-------=�
APPLICATION CONTINUED ON PAGE 2
PAGE1
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Truck inspected by TroyHarrison. Passed inspection on11/16/2021 JRB 11162021