NCS00895_2022Permit_Initial

2022
Permit and Registration
Triad Industrial Services, Inc.

is hereby issued a Septage Management Firm Permit,
Permit Number NCS-00895
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. T Z Osborne WRF, Mcleansville NC
2. Septage Detention or Treatment Facility, SDTF-41-04
3. Septage Detention or Treatment Facility, SDTF-41-20 (Expires 04/26/2022)
4. Carolina Compost Inc., SWCD-29-10 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
Triad Industrial Services, Inc.
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-00895
Enter the five digits following the NCS #
City
McLeansville
State / Province / Region
North Carolina
Postal / Zip Code
27301
Country
United States
Street Address
5301 Burlington Road
Address Line 2
Guilford
Yes No
336-697-8169 336-697-0397
[e-mail]
Owner Info
Ronnie Overbey
Yes No
336-697-8169 336-697-0397
Operator Info
Ronnie Overbey Owner
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*
Pumper Vehicles
Usage*License Tag #*Vehicle Identification #*Tank Capacity*
336-697-8169 336-697-0397
Type and amount of septage pumped in the last 12 months
0
0
225,000
0
0
North Carolina counties of operation
Guilford
Vehicle Info
Yes No
10/22/2021
Owner
Add vehicles individually Upload List
Grease (restaurant)AA94634 1PMA1422XB1037914 6,500
Grease (restaurant)YA105823 1NKWX4EX69J252148 4,500
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
Septage Land Application Sites (SLAS)*
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*
Description*Authorization
Date*Hours *
Location *
Training Sponsored or Provided by*
Date Hours
Location
Training Sponsored or Provided by
Yes No
Yes No
Yes No
SDTF-41-20 4/26/2022 SDTF-41-
20.pdf
1.47MB
SDTF-41-04 8/31/2023 SDTF-41-
04.pdf
1.64MB
Yes No
Carolina Compost / SWCD-29-10 SWCD-29-
10.pdf
530.71…
IU Permit Number W1019 W1019.pdf 493.16…
Septage Management Firm Operator Training Completed
10/19/2021 6
Greensboro, N.C.
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
0
Registration Type
Select one*
Comments or notes
Signature
Date
Print Name*Title*
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.
10/22/2021
01:14:05 AM
Ronnie Overbey Owner
PAID
FIRM NAME: Triad Industrial Services, Inc.
PERMIT #: NCS-00895
AMOUNT: $800
PAID BY: E-Card
DATE: 10/25/2020

Adam Ulishney