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HomeMy WebLinkAboutNCS01151_2022Permit_Initial2022 Permit and Registration Atlantic OBX is hereby issued a Septage Management Firm Permit, Permit Number NCS-01151 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. Septage Detention or Treatment Facility, SDTF-27-22 2. Elizabeth City WWTP, Elizabeth City 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 Atlantic OBX INC The "Firm name" must be exactly as it is shown on your vehicle(s). NCS-01151 Enter the five digits following the NCS # City Powells Point State / Province / Region North Carolina Postal / Zip Code 27966 Country United States Street Address 8490 Caratoke HWY Address Line 2 Currituck Yes No City Kitty Hawk State / Province / Region North Carolina Postal / Zip Code 27949 Country United States Street Address P.O Box 2560 Address Line 2 2522552030 Brooke@atlanticsewage.com Owner Info Bryan Lincoln 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 Kitty Hawk State / Province / Region North Carolina Postal / Zip Code 27949 Country United States Street Address P.O Box 2560 Address Line 2 2522552030 Operator Info Bryan Lincoln Yes No City Kitty Hawk State / Province / Region North Carolina Postal / Zip Code 27949 Country United States Street Address P.O Box 2560 Address Line 2 2522552030 Type and amount of septage pumped in the last 12 months 6,389,425 243,835 1,934,510 4,252,700 1,015,666 North Carolina counties of operation Camden, Chowan, Currituck, Dare, Hyde, Pasquotank, Perquimans, Tyrrell 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* 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)* 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 12/14/2021 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. Pumper Vehicles[343].docx 26.69KB Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Yes No Elizabeth City 12/31/2022 Yes No SLAS-27-18 4/1/2024 Updated Field Permits [345].docx 30.87KB SLAS-27-19 6/1/2022 SLAS-27-20 4/1/2024 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 Training Sponsored or Provided by Select one* Comments or notes SLAS-27-21 2/1/2026 SLAS-27-22 5/18/2031 Yes No SDTF-27-19 4/17/2022 SDTF-27-22 4/17/2022 SDTF-27-17 4/17/2022 Yes No Septage Management Firm Operator Training Completed 5/12/2021 6 Washington, NC NC Septic Tank Association Septage Land Application Site Operator Training Completed 10/21/2021 6 Granville Farms INC. Oxford, NC NC Septic Tank Association Registration Type Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes Elizabeth City WWTP will be sending a scanned copy of the UTD Authorization to Discharge Form. Once received I will email the form. 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 Signature Date Print Name*Title* the permit and that there are criminal penalties for knowingly making a false statement, representation, or certification. 12/13/2021 09:47:07 AM Bryan Lincoln President PAID FIRM NAME: Atlantic OBX PERMIT #: NCS-01151 AMOUNT: $800 PAID BY: E-Check DATE: 12/17/2021 Adam Ulishney ATLANTIC OBX, INC. PUMPER VEHICLE LIST No.# Year 0BMake Model Vin No. Tank size Tag 5 2002 MACK 4X2 117 BBC STEEL 1M2P267C72MO62322 4,000 YA121974 6 1995 FORD 6X4LTS SERIES 1 1FDZY90T7SVA71938 4,000 YA121971 9 2004 MACK 6X4 GRANITE SERIES 1M2AG11C04MO12335 4,000 YA121969 10 2006 MACK 6X4 GRANITE SERIES 1M2AG11CO6MO33947 4,000 YA121972 11 2012 MACK GU713 1M2AZ07C4M012838 4,650 YA145971 13 1999 VOLVO 6X4 WG SERIES11 4VHJCBPE9XN866501 4,000 YA121968 27 2017 PETERBILT 337 2NP2HM6X5HM414119 1,500 JV9887 28 2016 INTERNATIONAL PORT A POTTY 1HTMMMML8GH226464 2,500 HS7934 29 2002 INTERNATIONAL PORT A POTTY 1HTMMAAL12H534894 1,100 EE8622 30 2002 INTERNATIONAL PORT A POTTY 1HTMKAALX2H552123 1,600 DC3011 32 2019 PETERBILT 389 1NPXL40X4KD638525 4,750 YA145972 41 2007 INTERNATIONAL Pump truck 1HTXRSCT87J479703 4,500 YA126896 42 2001 STERLING Pump truck 2FZHAZBD71AH49152 4,000 YA126855 44 2011 MACK GU700 1M2AX07C1BM010561 4,750 YA137316 45 2013 MACK GU713 1M2AX07C9DM014988 4,750 YA137315 2019 CHEVY SILVERADO 5500 1HTKHPVKXKH324147 1,000 KF8955 2019 CHEVY SILVERADO 5500 1HTKHPVK0KH604286 1,000 KF8952