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Home My WebLink AboutNCS00007_2022Permit_Initial2022 Permit and Registration Myers Septic Tank Company is hereby issued a Septage Management Firm Permit, Permit Number NCS-0007 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. Town Creek WWTP, Spencer 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. __________________________________________________ Perry Sugg, 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 Myers Septic Tank Company The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00007 Enter the five digits following the NCS # City Salisbury State / Province / Region NC Postal / Zip Code 28147 Country United States Street Address 1882 Briggs Road Address Line 2 Rowan Yes No 17046333962 myersseptictank1882@gmail.com Owner Info Garrett Bean/ Seth Mills Yes No 17046333962 Operator Info Garrett Bean/ Seth Mills 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* 17046333962 Type and amount of septage pumped in the last 12 months 280,000 29,500 40,000 200,000 25,000 North Carolina counties of operation Rowan, Cabarrus, Iredell Vehicle Info Yes No 10/21/2021 Owner/Operator Add vehicles individually Upload List Domestic Septage YA 60445 2FZHAZCG24AM85669 3,500 Grease (restaurant)YA 61606 1FVXTMDB1XHA55178 3,500 Portable Toilet Waste CY 8039 JHBFA4JG5W1S10064 300 Portable Toilet Waste FB 5845 1HTMMAAL42H520259 1,100 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)* If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #*Expiration Date *Authorization 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* Date*Hours * Location * Training Sponsored or Provided by* Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Town Creek WWTP 12/31/2021 Scanned Documents (2).pdf 427.24… Yes No SLAS-80-01 12/31/2021 Yes No SDTF-80-02 12/31/2021 Yes No Septage Management Firm Operator Training Completed 1/25/2021 6 Hickory, NC NC Septic Tank Association Septage Land Application Site Operator Training Completed Date Hours Location Training Sponsored or Provided by Select one* Comments or notes Signature Date Print Name*Title* 1/25/2021 3 Hickory, NC NC Septic Tank Association 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. 10/21/2021 02:33:20 AM Garrett Bean Owner/Operator PAID FIRM NAME: Myers Septic Tank Company PERMIT #: NCS-00007 AMOUNT: $800 PAID BY: E-Check DATE: 10/25/2020 Adam Ulishney