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HomeMy WebLinkAboutNCS01388_2022Permit_Initial2022 Permit and Registration Elite Septic LLC is hereby issued a Septage Management Firm Permit, Permit Number NCS-01388 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. Cross Creek WRF/Rockfish Creek WFR, Fayetteville NC 2. Johnnie Mosley Regional WRF, Kinston 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?* Phone*Fax Firm Info Elite Septic LLC The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01388 Enter the five digits following the NCS # City Mount Olive State / Province / Region NC Postal / Zip Code 28365 Country usa Street Address 146 Britt rd Address Line 2 Wayne Yes No City Mount Olive State / Province / Region nc Postal / Zip Code 28365 Country usa Street Address PO Box 888 Address Line 2 9196892922 elitesepticllc@gmail.com Owner Info Kevin Pennington Yes No 9199205015 Firm operator's name*Firm operator's title Mailing address same as street address of oce?* 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* Operator Info Kevin Pennington Yes No 9199205015 Type and amount of septage pumped in the last 12 months 520,000 0 0 0 0 North Carolina counties of operation Wayne, Sampson, Duplin, Johnson, Wilson and Lenoir Vehicle Info Yes No 12/30/2021 owner Add vehicles individually Upload List 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* Date*Hours * Location * Training Sponsored or Provided by* Date Hours Location Training Sponsored or Provided by Domestic Septage YA137707 1HSHCAHROXH60115 3,300 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No johnnie mosley 12/31/2022 2022kinston.…282.01… ccwrt 12/31/2022 2022ccwrf.pdf 263.49… Yes No Yes No Yes No Septage Management Firm Operator Training Completed 3/23/2021 6 crystal coast civic 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. 12/30/2021 07:14:46 AM Kevin Pennington owner PAID FIRM NAME: Elite Septic LLC PERMIT #: NCS-01388 AMOUNT: $550 PAID BY: E-Card DATE: 3/29/2022 PAID (late) FIRM NAME: Elite Septic LLC PERMIT #: NCS-01388 AMOUNT: $275 PAID BY: E-Card DATE: 3/29/2022 Adam Ulishney