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HomeMy WebLinkAboutNCS00825_2022Permit_Initial2022 Permit and Registration Parks Portable Toilets Inc is hereby issued a Septage Management Firm Permit, Permit Number NCS-00825 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. Johnnie Mosley Regional WRF, Kinston NC 2. City of Wilson, Wilson NC 3. Septage Detention or Treatment Facility, SDTF-98-08 4. Cross Creek WRF/Rockfish Creek WFR, Fayetteville NC 5. Central Johnston County Regional WWTP, Smithfield 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 Parks Portable Toilets, Inc The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-00825 Enter the five digits following the NCS # City Goldsboro State / Province / Region NC Postal / Zip Code 27530 Country United States Street Address 179 Combs Rd Address Line 2 P.O. Box 1611 Wayne Yes No City Goldsboro State / Province / Region NC Postal / Zip Code 27530 Country United States Street Address P.O. Box 1611 Address Line 2 919-735-9402 919-735-9450 info@parksportable.com Owner Info Bonnie P. Howell 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 Goldsboro State / Province / Region NC Postal / Zip Code 27530 Country United States Street Address 226 Combs Rd Address Line 2 919-583-5052 Operator Info Bonnie P. Howell President Yes No City Goldsboro State / Province / Region NC Postal / Zip Code 27530 Country United States Street Address 226 Combs Rd Address Line 2 919-583-5052 Type and amount of septage pumped in the last 12 months 0 250,000 0 0 0 North Carolina counties of operation Carteret, Craven, Duplin, Edgecombe, Harnett, Greene, Jones, Johnston, Nash, Sampson, Wake, Wayne, Wilson, Onslow, Pitt, Pender, Cumberland, Moore 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 12/9/2021 President Add vehicles individually Upload List Portable Toilet Waste EW2664 3C7WRMDL4FG545010 700 Portable Toilet Waste HH5456 3C7WRMBL8HG535344 900 Portable Toilet Waste EN7149 1FDUF5GTXEEA43697 900 Portable Toilet Waste AP8291 3C7WRMDL9JG122500 700 Portable Toilet Waste JM8287 3C7WRMBL3JG383298 625 Portable Toilet Waste JM8371 3C7WRMBLXKG538186 900 Portable Toilet Waste FB7398 1FDUF5GT7FEC38495 900 Portable Toilet Waste YA253882 1FUY3WDB7WL955922 3,500 Portable Toilet Waste FD8581 3C7WRMBL6GG100403 900 Portable Toilet Waste KE7952 3C7WRMCL1KG646713 900 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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 * Central Johnston County Regional Wastewater Treatment Plant 12/31/2022 Central Johnston County Regional Wastewater Treatment Plant.pdf 307.27… Cross Creek WRF 12/31/2022 Cross Creek WRF.pdf 332.83… Daniel L Newsome 12/31/2022 Daniel L Newsome.pdf 231.63… Jonnie Mosley Regional Water Reclamation Facility 12/31/2022 Jonnie Mosley Regional Water Reclamation Facility.pdf 358.22… Hominy Creek Water Reclamation Facility 12/31/2022 Hominy Creek Water Reclamation Facility.pdf 286.6KB Yes No SLAS-9609 6/14/2021 Yes No SDTF-9602 6/14/2021 Yes No Septage Management Firm Operator Training Completed 4/22/2021 4 Location * Training Sponsored or Provided by* Date Hours Location Training Sponsored or Provided by Select one* Comments or notes Signature Date Print Name*Title* Online NC Pumper Group & NC Portable Toilet Group Septage Land Application Site Operator Training Completed 4/22/2021 3 Online NC Pumper Group & NC Portable Toilet Group Registration Type Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes We have submitted our application for the SLAS-9609 and SDTF-9602. I called and it is currently under review. 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. 12/1/2021 08:34:17 AM Bonnie P Howell President PAID FIRM NAME: Parks Portable Toilets Inc PERMIT #: NCS-00825 AMOUNT: $800 PAID BY: E-Check DATE: 12/3/2021 Adam Ulishney