HomeMy WebLinkAboutNCS01070_2022Permit_Initial2022
Permit and Registration
Lake Norman Sewer & Septic Services
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01070
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. Septage Detention or Treatment Facility, SDTF-55 -06
2. Septage Detention or Treatment Facility, SDTF-60-09
3. Clark Creek WWTP, Newton NC
4. McAlpine Creek WWTP, Charlotte 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 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
Lake Norman Sewer & Septic Services, LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01070
Enter the five digits following the NCS #
City
Maiden
State / Province / Region
North Carolina
Postal / Zip Code
28650
Country
United States
Street Address
6656 East Highway 150
Address Line 2
Lincoln
Yes No
City
Denver
State / Province / Region
North Carolina
Postal / Zip Code
28037
Country
United States
Street Address
P. O. Box 889
Address Line 2
704-483-5125 704-483-5933
lknsas@gmail.com
Owner Info
David D. Currier
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
Denver
State / Province / Region
North Carolina
Postal / Zip Code
28037
Country
United States
Street Address
P.O.Box 889
Address Line 2
704-400-9183 704-483-5933
Operator Info
David D. Currier Owner
Yes No
City
Denver
State / Province / Region
North Carolina
Postal / Zip Code
28037
Country
US
Street Address
P.O.Box 889
Address Line 2
704-400-9183 704-483-5933
Type and amount of septage pumped in the last 12 months
1,000,000
0
30,000
0
0
North Carolina counties of operation
Catawba, Lincoln, Iredell, Mecklenburg, Cabarrus
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)*
11/16/2021
Owner
Add vehicles individually Upload List
Grease (restaurant)YA008621 1WPALT0X31N550204 3,600
Domestic Septage YA115581 1XKDDB9X97J158301 5,000
Domestic Septage JY2950 1HTMMMML7HH694414 2,100
Domestic Septage KD6868 1HTMMMMLXGH145353 2,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Clark Creek WWTP, Newton, NC 12/31/2021
RRRWWTP 12/31/2021
CLT Water-SP 12/31/2021
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
Signature
SDTF-55-06 12/31/2021
SDTF-60-09 12/31/2021
Yes No
Septage Management Firm Operator Training Completed
3/29/2021 6
Hickory
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
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.
Date
Print Name*Title*
11/16/2021
11:24:20 AM
David D. Currier Owner
PAID
FIRM NAME: Lake Norman Sewer & Septic Service
PERMIT #: NCS-01070
AMOUNT: $800
PAID BY: E-Check
DATE: 10/25/2020
Adam Ulishney