HomeMy WebLinkAboutNCS01183_2022Permit_Initial2022
Permit and Registration
Blu Site Solutions (Clayton)
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01183
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. Neuse River Resource Recovery Facility, Raleigh NC 2. Cross Creek WRF/Rockfish Creek WFR, Fayetteville 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 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?*
Mailing Address*
Phone*Fax
Firm Info
Blusite Solutions
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-1183
Enter the five digits following the NCS #
City
Clayton
State / Province / Region
North Carolina
Postal / Zip Code
27520
Country
United States
Street Address
134 Uzzle Industrial Dr
Address Line 2
Johnston
Yes No
919-631-3817
jnorris@blusitesolutions.com
Owner Info
ADCO Holdings
Yes No
City
Charlotte
State / Province / Region
North Carolina
Postal / Zip Code
28269
Country
United States
Street Address
4250 Trailer Dr
Address Line 2
570-396-2013
Firm operator's name*Firm operator's title
Mailing address same as street address of o ce?*
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*
Operator Info
Joseph Norris Operations Manager
Yes No
919-631-3817
Type and amount of septage pumped in the last 12 months
0
449,391
0
0
0
North Carolina counties of operation
Johnston, Wake, Wayne, Franklinton, Wilson, Harnett, Sampson, Edgecombe,
Durham, Orange, Chatham, Cumberland, Duplin, Lee, Moore, Nash, Vance,
Granville, Person, Alamance, Warren, Halifax, North Hampton
Vehicle Info
Yes No
5/23/2022
Director
Add vehicles individually Upload List
Upload vehicle list*
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
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
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.
truck listraleigh.pdf 94.41KB
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
Nathan Howell 12/31/2021 Ralauth.pdf 490.68…
Cross Creek WRF/ROckfish Creek WRF 11/2/2022 Ralauth.pdf 490.68…
Hominy Creek Water Rec 12/31/2021 Ralauth.pdf 490.68…
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
6/13/2021 8
Online
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
0
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.
5/23/2022
09:29:15 AM
Johnny Roach Director
yearmakemodel/typecapacityvin#milageplatetruck#SamsaraNetdradeem2010ITL4300 PUMP450/10001HTMMAAL2AH247613249,380LA-283137613xbrian nikolaj2017ITL4300 pump450/10001HMMMML3HH710320299,999 LA-29767320xbraxton bridgers2018FORDF550 CRESCENT400/7001FDUF5GT8JE844202140,088LA-269024202 xxkhadeem youngblood2019HINO268 PUMP450/10005PVNJ8JV1K4S74721117,938LA-2100074721 xxcordarius Davis2018FORDF450 SLIDE-IN150/3001FDUF4HY6KEC15398102,385LA-210085398 xxdaniel bridgers2019FORDF550 PORTA LOGIX350/8001FDUF5GT5KDA2464059,006LA-210064640 xxwilliam high2004FREIGHTLINERFL70 SEPTIC000/22001FVABTAK54DM28035221,348LA-2832380352019KENWORTHT 3 Series1500/5002NKHHM6X8KM25986482,682LA-251899864 xxjermaine cain2020ITLCV500 PUMP450/8001HTKSSWK7LH88918427,211LA-295339184 xxjosh green2017RAM5500 PUMP350/8003C7WRMBL5HG587062213,436LA-210097062 xxJames Tackett
PAID
INVOICE #: NCS‐01183‐2022
PERMIT #: NCS‐01183
AMOUNT: $800
PAYMENT METHOD: Credit Card
DATE: 03/10/2022
Chester Cobb
Permit Fee
PAID
INVOICE #: NCS‐01183‐2022LF
PERMIT #: NCS‐01183
AMOUNT: $400
PAYMENT METHOD: Credit Card
DATE: 05/20/2022
Late Fee