NCS01216_2022Permit_Initial

2022
Permit and Registration
Greasecycle
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01216
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-92-11
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 aSeptage 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
Greasecycle, LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01216
Enter the five digits following the NCS #
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27610
Country
United States
Street Address
3900 Commerce Park Drive
Address Line 2
Wake
Yes No
9198176792
[e-mail]
Owner Info
Dylan Gehrken
Yes No
9198176792
Operator Info
Dylan Gehkren President
Yes No
---------<---- LLC not part of firm name on record
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*
Upload vehicle list*
9198176792
Type and amount of septage pumped in the last 12 months
0
0
6,648,600
0
0
North Carolina counties of operation
Sampson, Wayne, Pitt, Greene, Edgecombe, Halifax, Nash, Wilson, Johnson.
Harnett, Lee, Moore, Hoke, Montgomery, Union, Cabarrus, Lincoln, Mecklenburg,
Rowan, Davidson, Iredell, Forsyth, Catawba Davie, Alamance, Orange, Durham,
Wake, Franklin, Warren, Vance, Caswell, Rockingham, Stokes, Yadkin,
Rockingham, Randolph, Guilford
Vehicle Info
Yes No
12/6/2021
President
Add vehicles individually Upload List
You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag #, Vehicle
Identification #, and Tank Capacity.
Pumper Vehicles.xlsx 5.18KB
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
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*
Date Hours
Location
Training Sponsored or Provided by
Select one*
Comments or notes
Yes No
Yes No
Yes No
SDTF-92-11 12/31/2023 SKM_C3350i21…182.27…
Yes No
Septage Management Firm Operator Training Completed
12/5/2020 4
Online Charlotte
NC Pumper Group & NC Portable Toilet Group
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.
Signature
Date
Print Name*Title*
12/7/2020
10:05:00 AM
Dylan Gehrken President
Pumper Vehicle list
Vehicle Number Vehicle Model Tank Size License Plate Vin
1 2015 Peterbilt 567 4600 gal YA138695 INPCX40X3FD287910
12 2020 Freightliner 114 SD w Omega Vac Tank 5400 gal YA148730 1FVMG3DV4LHKT3877
14 2020 Freightliner 108 SD 4000 gal YA148731 3ALHG5FE4LDLW3268
24 2021 Freightliner 114 SD 5100 gal YA161862 3ALHG3DV4MDMU8183
PAID
FIRM NAME: Greasecycle
PERMIT #: NCS-01216
AMOUNT: $800
PAID BY: Check
DATE: 10/5/2021
Adam Ulishney