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Home My WebLink AboutNCS00516_2022Permit_Initial2022 Permit and Registration Foster Septic Tank Cleaning is hereby issued a Septage Management Firm Permit, Permit Number NCS- 00516 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. City of Oxford, Oxford NC 2. Town of Louisburg WRF, Louisburg NC 3. Warren County WWTP, Warren 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?* Mailing Address* Phone*Fax Email* Firm owner's name* Mailing address same as street address of oce?* Firm Info Foster Septic Tank Cleaning The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00516 Enter the five digits following the NCS # City Henderson State / Province / Region NC Postal / Zip Code 27537 Country United States Street Address 625 Lake View Road Address Line 2 Apt, suite, floor, etc. Franklin Yes No City Henderson State / Province / Region NC Postal / Zip Code 27536 Country USA Street Address PO Box 2386 Address Line 2 2524385750 2524385750 AFRESHPOTTI@GMAIL.COM Owner Info DONNA BULLOCK Yes No Mailing Address* Phone*Fax Firm operator's name*Firm operator's title Mailing address same as street address of oce?* Mailing address* 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?* City Henderson State / Province / Region NC Postal / Zip Code 27536 Country United States Street Address PO Box 2386 Address Line 2 2524321578 Operator Info J. Donald Foster manager Yes No City Henderson State / Province / Region NC Postal / Zip Code 27536 Country United States Street Address PO Box 2386 Address Line 2 2524385750 2524385750 Type and amount of septage pumped in the last 12 months 917,999 0 0 0 0 North Carolina counties of operation Franklin, Granville, Halifax, Nash, Person, Vance, Wake, Warren, Wilson Vehicle Info Yes No "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* 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 11/24/2021 Member/owner Add vehicles individually Upload List Domestic Septage VAD15701 5PVNV8JV182550993 2,500 Domestic Septage KE6930 2NP3LJ0X8MM733664 3,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No LOUISBURG WRF 12/31/2022 Louisburg WRF 2022 Foster Septic Tank Cleaning.pdf 443.5KB WARREN COUNTY WWTP 12/31/2022 WARREN COUNTY WWTP 2022 FSTC.pdf 410.66… CITY OF OXFORD WWTP 12/31/2022 CITY OF OXFORD WWTP- FSTC.pdf 432.44… 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 Select one* Comments or notes Signature Date Yes No Yes No Yes No Septage Management Firm Operator Training Completed 4/22/2021 4 VIRTUAL CLASS ONLINE NC Septic Tank Association Septage Land Application Site Operator Training Completed 4/22/2021 3 VIRTUAL CLASS ONLINE 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. 11/24/2021 01:34:55 AM Print Name*Title* Wanda FOSTER MEMBER/OWNER PAID FIRM NAME: Foster Septic Tank Cleaning PERMIT #: NCS-00516 AMOUNT: $800 PAID BY: E-Check DATE: 11/29/2021 Adam Ulishney