NCS01175_2022Permit_Initial

2022
Permit and Registration
AAA City Plumbing, Inc.

is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01175
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. 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, 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?*
Mailing Address*
Phone*Fax
Email*
Firm owner's name*
Mailing address same as street address of oce?*
Firm Info
AAA City Plumbing, Inc.
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01175
Enter the five digits following the NCS #
City
Rock Hill
State / Province / Region
SC
Postal / Zip Code
29732
Country
united States
Street Address
178 Grayson Rd
Address Line 2
Out-of-State
Yes No
City
Rock Hill
State / Province / Region
SC
Postal / Zip Code
29732
Country
United States
Street Address
PO Box 37585
Address Line 2
803-327-5171 803-327-5099
[e-mail]
Owner Info
Dean R. Inkelaar
Yes No
Mailing Address*
Phone*Fax
Firm operator's name*Firm operator's title
Mailing address same as street address of oce?*
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:*
City
Rock Hill
State / Province / Region
SC
Postal / Zip Code
29732
Country
United States
Street Address
PO Box 37585
Address Line 2
803-327-5171 803-327-5099
Operator Info
Frankie Starnes
Yes No
City
Rock Hill
State / Province / Region
SC
Postal / Zip Code
29732
Country
United States
Street Address
PO Box 37585
Address Line 2
803-327-5171 803-327-5099
Type and amount of septage pumped in the last 12 months
120,000
0
0
0
0
North Carolina counties of operation
Mecklenburg
Gaston
Union
Cabarrus
Vehicle Info
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*
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*
Yes No
10/26/2021
President
Add vehicles individually Upload List
Portable Toilet Waste P736177 1FUBCYDC65DN70791 2,500
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Rocky River Regional Wastewater 12/31/2022 img002.pdf 552.01…
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
Date*Hours *
Location *
Training Sponsored or Provided by*
Date Hours
Location
Training Sponsored or Provided by
Select one*
Comments or notes
Signature
Date
Print Name*Title*
11/9/2021 4
Doubletree by Biltmore
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
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.
10/26/2021
11:20:41 AM
Dean R. Inkelaar President
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management -Solid Waste Section
1646 Mail Service Center, Raleigh, NC27699-1646
Fee assessments and waste determinations will be required at the discretion of the wastewater
treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incoming wastewater stream.
I, James christian sims #999309. Rocky River Regional wastewater Treatment plant
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
6400 Breezy Lane, Concord, North Carolina 28025
(Address)
704-788-4164. xl 14 do hereby authorize Dean lnkelaar (803-327-5171)
(Phone Number) (Owner/Operator of septage Management Firm)
of AAAcityplumbing NCS # 01175
(Septage Management Firm Name and NCS number)
todisposeof: domesticseptage YES ,portabletoiletwaste
grease septage (grease trap pumpings)
Cabarrus and surrounding counties.
NO
YES
commercial/industrial septage NO
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
6400 Breezy Lane, Concord, NC 28025
(Location)
between the hours of 7AM and 7PM Mondav-Saturdav: Sunday upon request.
Reintroducing partially treated liquid into a grease trap is acceptable
This authorization shall be valid until December 31
yes /No
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Pretreatment/Septage Haulers/FORMS/Authorization to Discharge/2022 Authorization Forms
PAID
FIRM NAME: AAA City Plumbing, Inc.
PERMIT #: NCS-01175
AMOUNT: $550
PAID BY: Check
DATE: 12/10/2021

Adam Ulishney