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 o ce*
County*
Mailing address same as street address of o ce?*
Phone*Fax
Email*
Firm owner's name*
Mailing address same as street address of o ce?*
Phone*Fax
Firm operator's name*Firm operator's title
Mailing address same as street address of o ce?*
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
Certi cation 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