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Permit and Registration
Reliable Onsite Services
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01432
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. McAlpine Creek WWTP, Charlotte 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
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION – 1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The “Firm name” must be exactly as it is shown on your vehicle(s)).
Street address of office:
City: State: ___ Zip:
Mailing address (if different):
City: ______________ State: ________Zip: _________________________
Phone: Fax: ________________________________________
E-Mail: ______________________________________________________________________________
County: Septage Management Firm permit number: NCS #
(2.) Firm owner's name:
Mailing address (if different):
City: ______________ State: _______ Zip: _________________________
Phone: Fax: ________________________________________
(3.) Firm operator's name: Firm operator’s title:
Mailing address (if different):
City: ______________ State: _______ Zip: _________________________
Phone: Fax: ________________________________________
(4.) Type(s) of septage pumped: Write in the number of gallons pumped in last 12 Months (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease (Restaurant) Treatment Plant Industrial/Commercial
(5.) N.C. Counties of Operation: _______ ____________________________________________________________________________________ (List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: Number used for: Domestic Septage:___________ Grease (restaurant): ____________ Other: ____________________ Portable Toilet Waste: __________ Vehicle Information: (use additional paper if needed)
License Tag # Vehicle Identification # Tank Capacity
12
34
5
APPLICATION CONTINUED ON PAGE 2
PAGE 1
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( ) yes ( ) no. If yes, submit Wastewater Treatment Authorizationfor each plant, as indicated in Subparagraph .0833(c)(14) of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)SLAS#: Expiration Date: SLAS#: Expiration Date: ____________
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)SDTF#: Expiration Date: _ SDTF#: Expiration Date: ____________
(8.) Septage Management Firm Operator Training Completed: Date: _________________ Location: _______________________ Hours: _____ Training Sponsored or Provided by: _____________________________________________________________
(9.) Septage Land Application Site Operator Training Completed: Date: _________________ Location: _______________________ Hours: _____ Training Sponsored or Provided by: _____________________________________________________________
(10.) Registration type requested: CHECK ONE Registered Portable Sanitation Firm: ______ Registered Septage Management Firm: ______ Registered Portable Sanitation and Septage Management Firm: ______
Certification 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 (Signature of company official required) Date
______ Print Name Title
Other Comments:
S:/Solid_Waste:/CLA/SEPTAGE/FORMS/2018 Firm Application/FirmPermitApplication2018
PAGE 2
11/12/2021
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B C D E F G H I J
RM EQ #Year/Make/Model State (Tag)Tag #VIN #Waste Capacity
W
a
t
Cab Color Tank Color
10829712 2018 FORD 550 Indiana 2911396 1FDUFSHT8JEC27223 800 White Silver
10869753 2018/Hino/268 Indiana 2911418 5PVNJ8JV1K4S72807 1100 White White
10780156 2017/Hino/268 Indiana 2911419 5PVNJ8JV8K4S70925 1100 White White
11112663 2020/Hino/268 Indiana 3063872 5PVNJ8AJXM5T50026 1100 White White
11115387 2020/Hino/268 Indiana 3063891 5PVNJ8AJXM5T50012 1100 White White
11120586 2021/Hino/268 Indiana 306917 5PVNJ8AJ0M5T50018 1100 White White
11161743 2021/Hino/268 Indiana 3145393 5PVNJ8AJ7M5T50033 1100 White White
11167689 2021/Hino/268 Indiana 3145468 5PVNJ8JT9L5S60432 1100 White White
11167694 2021/Hino/268 Indiana 3145431 5PVNJ8JT2L5S60434 1100 White White
11009215 2019/Hino/268 Indiana 3063876 5PVNJ8JJ9L4S51086 1100 White White
11101294 2020/Hino/268 Indiana 3063865 5PVNJ8JV5L5S80307 1100 White White
11243636 2021/Peterbilt/337 Indiana 2932136 5NP2HM6X1NM780168 4000 White White
11073744 2020/Isuzu/NPR Indiana 3063880 JALE5W169L7304080 500 White White
10984607 2019/Peterbilt/348 Indiana 3213415 2NP3LJ0X9KM619718 700 White White
PAID
FIRM NAME: Reliable Onsite Services
PERMIT #: NCS-01432
AMOUNT: $800
PAID BY: E-Check
DATE: 9/27/2021
Adam Ulishney