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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 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 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 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:* 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 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. 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