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HomeMy WebLinkAboutNCS01090_2022Permit_Initial2022 Permit and Registration A & B Portable Toilets, Inc. is hereby issued a Septage Management Firm Permit, Permit Number NCS-01090 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. Carolina Compost Inc., SWCD-29-10 2. T Z Osborne WRF, Mcleansville NC 3. Septage Detention or Treatment Facility, SDTF-41-09 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 A&B Portable Toilets, Inc. The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01090 Enter the five digits following the NCS # City Greensboro State / Province / Region NC Postal / Zip Code 27406 Country USA Street Address 2544 Alamance Church Road Address Line 2 Guilford Yes No 336-669-7338 336-697-2909 ayoung@abportabletoilets.com Owner Info Amana Young Yes No 336-669-7338 336-697-2909 Operator Info William D Young Vice President 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* Upload vehicle list* Approved wastewater treatment plant* 336-669-7338 336-697-2909 Type and amount of septage pumped in the last 12 months 404,541 639,731 399,305 0 0 North Carolina counties of operation Guilford, Alamance, Forsyth, Randolph, Rockingham, Chatham, Moore, Orange, Durham, Lee, Wake Vehicle Info Yes No 12/14/2021 Operator/ Vice 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. RENEWAL Master Truck List 2021.xlsx 13.76KB Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No 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* Date Hours Location TZ Osborne 12/31/2022 Auth to Discharge Septage.pdf 38.15KB Carolina Compost 12/31/2022 Carolina Compost Permit.pdf 446.53… Yes No Yes No SDTF-34-02 12/31/2022 Auth to Discharge Septage.pdf 38.15KB Yes No Septage Management Firm Operator Training Completed 10/7/2021 6 Hickory, NC NC Septic Tank Association Septage Land Application Site Operator Training Completed 0 Training Sponsored or Provided by Select one* Comments or notes Signature Date Print Name*Title* 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. 12/13/2021 03:27:27 AM William D Young Operator/ Vice President Year Truck Tag Fresh Water 2007 Freightliner M2 HS-7279 300 2000 Freightliner FL80 YA-133402 0 2016 Ford F550 HC-2653 300 2015 International 4300 FD-2443 400 2016 Ford F550 JB4557 200 2018 Ford F550 JK3346 350 2019 International HV507 YA153121 100 2019 Chevrolet Silverado JP-5259 250 2019 Chevrolet Silverado HP-6196 150 2019 International MV JX2847 400 2019 Chevy/Isuzu KC-2404 350 2019 International 4300 JX-2846 250 2008 International Eagle YA-160320 0 Gallons WasVIN Usage 1000 1FVACWDCH7HY75671 Portable Toilet 2500 1FU6J6BA5YNF92192 Septic/Grease 900 1FDUF5GT8GEC07547 Portable Toilet 1000 3HAMMMML6FL70905 Portable Toilet 900 1FDUF5GT9GED30404 Portable Toilet 1000 1FDUF5GTOJEC21059 Portable Toilet 4000 3HAEGTAT7KL332448 Septic/Grease 350 1HTKHPVK6KH840702 Portable Toilet 300 54dcw1bok5804287 Portable Toilet/Delivery 1000 1HTEUMML1KH406320 Portable Toilet 800 1HTKHPVK6HI61982 Portable Toilet 500 1HTMMMMLoHH572865 Portable Toilet/Delivery 3500 1HSXRSCT68J558258 Septic/Grease PAID FIRM NAME: A&B Portable toilets PERMIT #: NCS-01090 AMOUNT: $800 PAID BY: E-Check DATE: 12/15/2021 Adam Ulishney