HomeMy WebLinkAboutNCS00250_2022Permit_Initial2022
Permit and Registration
Jim's Liquid Waste Hauling, LLC
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-00250
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. Greenville Utilities WWTP, Greenville NC
2. Septage Detention or Treatment Facilities, SDTF-74-16 and SDTF-98-08 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 o ce*
County*
Mailing address same as street address of o ce?*
Mailing Address*
Phone*Fax
Email*
Firm owner's name*
Mailing address same as street address of o ce?*
Firm Info
JIM'S LIQUID WASTE HAULING, LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00250
Enter the five digits following the NCS #
City
GREENVILLE
State / Province / Region
NC
Postal / Zip Code
27834
Country
United States
Street Address
2141 Sunnybrook Road
Address Line 2
Pitt
Yes No
City
Greenvlle
State / Province / Region
NC
Postal / Zip Code
27858
Country
PITT
Street Address
4000 Bach Circle
Address Line 2
2528301016 N/A
jlwh@earthlink.net
Owner Info
JIM STALLINGS
Yes No
Mailing Address*
Phone*Fax
Firm operator's name*Firm operator's title
Mailing address same as street address of o ce?*
Mailing address*
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?*
City
GREENVILLE
State / Province / Region
NC
Postal / Zip Code
27858
Country
United States
Street Address
4000 BACH CIR
Address Line 2
2528301016 N/A
Operator Info
JIM Stallings OWNER
Yes No
City
Greenvlle
State / Province / Region
NC
Postal / Zip Code
27858
Country
United States
Street Address
4000 Bach Circe
Address Line 2
2528301016 N/A
Type and amount of septage pumped in the last 12 months
989,300
400,200
510,000
0
0
North Carolina counties of operation
PITT, BEAUFORT, MARTIN, CRAVEN, LENOIR,GREENE
Vehicle Info
Yes No
"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.
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)*
12/15/2021
Owner
Add vehicles individually Upload List
Portable Toilet Waste JP-1980 1HTEUMML4KH294225 1,000
Portable Toilet Waste JS-8889 1HTEUMML6LH860788 1,000
Portable Toilet Waste CA-6666 1FVACWDT0DHBV9599 1,000
Domestic Septage YA004959 1FVHCYBS59HAF8694 3,500
Grease (restaurant)YA148322 SPVNV8JP682550067 2,000
Portable Toilet Waste EN5622 1HTMMAAL43H576204 1,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
GREENVILLE UTILITIES 12/31/2022
Yes No
Yes No
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*
Date Hours
Location
Training Sponsored or Provided by
Select one*
Comments or notes
SDTF-98-08 12/31/2022 NEWSOME
AUTHORIZATIO…
234.39…
SDTF-74-16 8/31/2024 GUC
AUTHORIZATION
2021.pdf
321.48…
Yes No
Septage Management Firm Operator Training Completed
5/13/2021 4
Washington, NC
NC Septic Tank Association
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
SDTF-74-16 is permitted to us. Chester Cobb is currently working on the
renewal of the permit. For purposes of filling out this form, I estimated the
expiration date.
Certi cation 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.
Signature
Date
Print Name*Title*
12/15/2021
12:57:01 AM
JIM STALLINGS Owner
PAID
FIRM NAME: Jim’s Liquid Waste Hauling LLC
PERMIT #: NCS-00250
AMOUNT: $800
PAID BY: E-Check
DATE: 12/17/2021
Adam Ulishney