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Home My WebLink AboutNCS00304_2022Permit_Initial2022 Permit and Registration Stay Clean is hereby issued a Septage Management Firm Permit, Permit Number NCS-00304 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. North Harnett Regional WWTP, Lillington NC 2. Septage Detention or Treatment Facility, SDTF-51-03 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 STAY CLEAN The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00304 Enter the five digits following the NCS # City ANGIER State / Province / Region NC Postal / Zip Code 27501 Country United States Street Address 670 WIGGINS RD Address Line 2 Johnston Yes No 919-427-1623 919-639-1091 staycleaninc@yahoo.com Owner Info GENE STEPHENSON Yes No 919-427-1623 919-639-1091 Operator Info BRIAN DIXON MANAGER 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* 919-427-1623 919-639-1091 Type and amount of septage pumped in the last 12 months 85,000 285,000 0 0 0 North Carolina counties of operation JOHNSTON, HARNETT, WAKE Vehicle Info Yes No 12/8/2021 MANAGER 10-22-2021 Add vehicles individually Upload List Portable Toilet Waste AB-3220 1HTKHPVK8LH414723 750 Portable Toilet Waste YA-120657 1HISCAAL2WH563515 950 Portable Toilet Waste JB-7847 3FRWF75S97V487991 1,050 Domestic Septage YA-130876 1HTSCAAN51H348088 2,100 Portable Toilet Waste AB-3222 3FENF80C3KMA00425 900 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)* 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 Bill J. Thomas (Grade IV WW # 995445), ORC of NHRWWTP (NPDES # 0021636 12/31/2022 Scan2021-12- 08_074334_00… 394.35… JOHN D. WALL CENTRAL JOHNSTON COUNTY REGIONAL WASTEWATER TREATMENT PLANT 12/31/2022 Scan2021-12- 08_074334_00… 489.97… Nathan Howell, City of Raleigh/Neuse River Resource Recovery Facility (THEY SENT EMAIL THAT THEY WERE SENDIND DIRECTLY TO YOUR OFFICE) 12/31/2022 Yes No Yes No SDTF-51-03 1/1/2025 Scan2021-12- 08_080029_00… 425.44… Yes No Septage Management Firm Operator Training Completed 12/4/2021 4 NC STATE FAIR GROUNDS, JIM MARTIN BUILDING NC Pumper Group & NC Portable Toilet Group Date Hours Location Training Sponsored or Provided by Select one* Comments or notes Signature Date Print Name*Title* 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. 12/8/2021 11:06:21 AM BRIAN E DIXON MANAGER PAID FIRM NAME: Stay Clean PERMIT #: NCS-00304 AMOUNT: $800 PAID BY: E-Card DATE: 10/26/2020 Adam Ulishney