NCS01378_2022Permit_Initial

2022
Permit and Registration
Royal Restrooms

is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01378
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-36-14 2. Cross Creek WRF/Rockfish Creek WRF, Fayetteville NC 3. City of Lumberton WWTP, Lumberton 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

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
PAGE 1
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION – 1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The “Firm name” must be exactly as it is shown on your vehicle(s)).
Street address of office:
City: State: Zip:
Mailing address (if different):
City: State: Zip
Phone: Fax:
E-Mail:
County: Septage Management Firm permit number: NCS #
(2.) Firm owner's name:
Mailing address (if different):
City: State: Zip
Phone: Fax:
(3.) Firm operator's name: Firm operator’s title:
Mailing address (if different):
City: State: Zip:
Phone: Fax:
(4.) Type(s) of septage pumped: Write in the number of gallons pumped in last 12 months (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease (Restaurant) Treatment Plant Industrial/Commercial
(5.) N.C. Counties of Operation:
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: Number used for: Domestic Septage: Grease (restaurant): Other:
Vehicle Information: (use additional paper if needed)
Portable Toilet Waste:
License Tag # Vehicle Identification # Tank Capacity 1
2
3
4
5
APPLICATION CONTINUED ON PAGE 2
Royal Restrooms
2353 Kenric Road
Lumberton NC 28360
PO Box 22033
Savannah GA 31403
9122284147
[e-mail]
Emerson Waters
01378Robeson
Ross Waters Vice President
8038327611
Fayetteville, Roberson, Cumberland and surrounding counties
4
20450
SC P605857 1GC4KYC89FF147399 450
GA RNL0247 1GB3KYCY3JF253629 450
GA RDG0325 1GT42VC84GF188541 200
GA TS87B45 5MYEE142KB063327 1100
1/11/22
PAID
FIRM NAME: Royal Restrooms
PERMIT #: NCS-01378
AMOUNT: $800
PAID BY: E-Check
DATE: 1/6/2022

Adam Ulishney