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Permit and Registration
Matthews Septic Tank Service
is hereby issued a Septage Management Firm Permit,
tszArr of
Permit Number NCS-00246
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o and registered as a e:,e DE
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` a= Septage Management Firm Department ofEnvironmental Quality
44 QIIAM
NORTH CAROLINA (PUMPER)
Environmental Quality
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-74-06
2. Septage Land Application Sites, SLAS-74-06 and SLAS-33-05
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. Digitally Signed by Wrn
Perry Sugg
Date: 2022.10.02
20:23:19-04'00'
Perry Sugg, Environmental Compliance Branch Head
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
RECEIVED
DMSIONI Or -WASTE MANAGENEW - SOLID WAM sECTI Ml - IN6 MAL SERWEE cam, RALEM. NCZMS-1646
JAN 10 2022
(1.) Firm name: (The `F = noW mustbe sac r as ft is shown on i owvebkJe(s1)•
Street address of office.
City: IL date: C _ Zip, IQ 790)�
Mating address (ddifierent): T • d33
city: Npo- An. 0�
Phone: r C b I Fax !Y �
E-Mail:
county:
(2.) Firm owr&s nano.
Mailing adat m (if diffiBrenQ: 6
(3.)
city. state:
Phone. LZA- 0 Fax
Firm operator's Rayne: _ AW46 `6,
Mating address (if dif%renty
Zip:
Firm ma's lifts:
City: State: Zap:
PrK=: Fa)c
(4.) Type(s) of septage p *Wb is the rus rerof aaltans f l2!eg in Lest 12 Months (Exipie Domestic-
50,000).
SECTION
Domestic Portable Toilet Waste
Grease estaurant
Treatment Plant
indrtshr�IComrrtercial
D bb f
(5.) N.C. Counffes ofOperafion:
Weach counly y=am1ftk4
(6.) Total Number of Purr W VeNdes Operated: _
Number used for. Domestic Septage:_.�_ Grease (restaurant):
Other. Portable Toilet VVasw
Vehicle Information: (use additional paper it needed)
APPLICATION CONTINUED ON PAGE 2
PAGE i
APPUCATION FOR PERM TO OPERATE A SAGE MANAGENIENT FIRM
(COKnNUED FRC�+.A PAGE t)
(7.E SqAao t aa! Medw& (sheds ane)
a) Approved oeff t ( ) yes (vfn'-o. gyessubn&VWadnwdwTfeabriatAdhadmfion
for each pbK as mdcaied h Se c)(M) offt Sqftm Mmagmmi i
/ 1t.C!I:11_1-717
c) SeptW crTreatnedF P MEnber& (u�add� wddmab lneeded)
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I'M" M6
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- Re*d9red PadtaW SmmlAm and Serge ll 9 , l Fmm
i cer1fy tihat dw ` and r faglingftappkvMonforapermkambttecompWandaccwabto
that#abed of my kmwkdge and bold. lmawamdoa t my be swperdod or mwdwd upon alndmgVWft9
humcawnf>auMivIcoi @c al ' IR I I 'I s lW=*d*aftcWd#w*dsimfbbmMe
permitu dt utsmae p farkwmi v* md$afaf GrcutvzamL
trade
GP W/1 e , �O•rrt7�r� r
Tiff
tliher Cam:
.fin: i -. 1.t• :1 .r.' a � r.it;. t.?t1l;l
PAGE 2
ETC SMAGE MANAGEMENT FIRM
Recertification of Pumper Vehicles
SeptVe Firm Permitk
Number of Pumper Veh'ts
CER'nRCATIC
I candy, under penaky of IW that ihc- pumper vehide or vehid+_. faded in the
subrnid�ed permit appDcaWn mew to recut for safe and sanitary
transport of septage. a s required by'ifiA HCAC 138 0844 (a) and vehide
kdeft as fequaed by 15A KCAC 13 0844 (b)_ f also cerft that a bg is
maintauwd of each sepfage pumping event as requited by 15A NCAC 13B AM
(a). f on wm a that There acre significant penaWM for f be MWMAM induding
the ply of fine and irnpon1i1e1it "
J l
OW i
/ 13 Zee IWVA,-� Tv—.
Oak
Title
PAID
FIRM NAME: Matthews Septic Tank Service
PERMIT #: NCS-00246
AMOUNT: $800
PAID BY: Check
DATE: 12/31/2021
Adam Ulishney