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Home My WebLink AboutNCS00016_2022Permit_Initial2022 Permit and Registration A Sani-Can is hereby issued a Septage Management Firm Permit, Permit Number NCS-00016 and registered as a Septage Management Firm (PUMPER) 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. Catawba Water Pollution Control Facility, Morganton NC 2. City of Hickory WWTP, Hickory NC 3. Septage Detention or Treatment Facility, SDTF-55-20 4. Septage Land Application Site, SLAS-18-01 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, 2022. __________________________________________________ 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 oce* County* Mailing address same as street address of oce?* Phone*Fax Email* Firm owner's name* Mailing address same as street address of oce?* Phone*Fax Firm operator's name*Firm operator's title Mailing address same as street address of oce?* Firm Info A Sani-Can The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00016 Enter the five digits following the NCS # City Denver State / Province / Region North Carolina Postal / Zip Code 28037 Country United States Street Address 8151 Webbs Road Address Line 2 Lincoln Yes No 7044835641 7044838481 neeley@asanican.com Owner Info Gary & Virginia Dellinger Yes No 7044835641 7044838481 Operator Info Gary Dellinger Secretary Yes No Phone*Fax Amount in gallons* Domestic Portable Toilet Waste Grease (Restaurant) Treatment Plant Industrial/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* Upload vehicle list* Approved wastewater treatment plant* 7044835641 7044838481 Type and amount of septage pumped in the last 12 months 211,685 626,130 243,564 0 0 North Carolina counties of operation Lincoln, Catawba, Iredell, Cleveland, Union, Stanley, Gaston, Cabarrus, Burke, Wilkes, Mecklenburg Vehicle Info Yes No 10/29/2021 Treasurer Add vehicles individually Upload List You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag #, Vehicle Identification #, and Tank Capacity. 2022 Denver Trucks.pdf 66.97KB Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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)* If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #*Expiration Date *Authorization Septage Detention or Treatment Facility (SDTF)* If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for each site. SDTF #*Expiration Date *Authorization Other disposal method* Date*Hours * Location * Training Sponsored or Provided by* City of Hickory 12/31/2022 2022 Hickory Discharge.pdf 312.84… City of Newton 12/31/2022 2022 Catawba Discharge.pdf 311.58… Yes No SLAS-18-01 3/31/2026 Land Application.… 780.2KB Yes No SDTF-55-20 1/29/2026 Septage Detention & Treatment Facility.pdf 1.44MB Yes No Septage Management Firm Operator Training Completed 3/29/2021 12 Hickory, NC NC Septic Tank Association 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 3/29/2021 6 Hickory, NC NC Septic Tank Association Registration Type Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes I have not received the City of Charlotte authorization to discharge paper yet; as soon as I receive it I will mail that in. Certication 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. 10/29/2021 07:04:02 AM Neeley Robinson Treasurer PAID FIRM NAME: A Sani-Can PERMIT #: NCS-00016 AMOUNT: $800 PAID BY: E-Card DATE: 11/2/2021 Adam Ulishney