NCS00296_2022Permit_Initial

2022
Permit and Registration
Currin's Septic Service
is hereby issued a Septage Management Firm Permit,
�szArr of
17 Permit Number NCS-00296
Di? and registered as a
-�= Septage Management Firm �� fE w� nmentalQulity
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. City of Oxford WWTP
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 Wm Perry
Sugg
Date: 2022.10.02 20:23:53-04'00'
Perry Sugg, Environmental Compliance Branch Head

For questions regarding this form or the online application process, please contact Jeffrey Bullard (919-707-8285) or Chester Cobb (919-707-
8283).
Firm Info
Firm name*
Currin's Septic Services
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00296
Enter the five digits following the NCS #
Street address of office*
Street Address
1727 Hwy 15
Address Line 2
city
State / Province / Region
Creedmoor
NC
Postal / Zip Code
Country
27522
us
County*
Granville
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
919-625-7745
Email*
[e-mail]
Owner Info
Firm owner's name*
Charles W Currin Jr.
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
919-625-7745
Operator Info
Firm operator's name*
Firm operator's title
Charles W Currin Jr.
Owner and Operator
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
919-625-7745
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 1 72, 000
Portable Toilet Waste 1 , 800
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation}
List each county you plan to do business in:
Granville
Vehicle Info^j
Do you plan to operate pumper vehicles?*
• 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
C'��F�t C-'�.t rew of.
Date*
12/14/2021
Title*
Owner and Operator
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage*
License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage
DM9607 IHTLCWPJ53639-1 2,000
Domestic Septage
YA149715 1FVACXDC27HZ37537 2,000
Septage Disposal Method �^
For each method, indicate whether you plan to use it by checking yes or no.

Approved wastewater treatment plant*
• 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*
Granville County Waste treatment
plant
Septage Land Application Sites (SLAS)*
Yes • No
Septage Detention or Treatment Facility (SDTF)*
Yes • No
Other disposal method*
Yes • No
Expiration Date* Authorization
12/31/2025 524D5FD1- 1.19MB
6522-4947-
9B7B-
21 D4FF36164A...
Septage Management Firm Operator Training Completed
Date* Hours*
4/22/2021 8
Location*
Online event #185 545 5429
Training Sponsored or Provided by*
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed^
Date Hours
0
Location
Training Sponsored or Provided by
Registration Type
Select one*
Registered Portable Sanitation Firm
• Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm

Comments and Notes
Comments or notes
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
Date
12/10/2021
09:29:21 AM
Print Name* Title*
Charles W Currin Jr Owner and Operator

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER ATER TREATMENT FACILITY
North Carohna Department of LnvkronmentaI Quality
Division cf Waste Managernent - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
Fee assessrneats and waste determinations will be required at the discretion cf the wastewater
treatment fadIity. The faciiity has the ultimate prerogative to deny discharges of any wastes to the
incoming wastewater stream.
I, t*A;
(Plant Operator in Resporrsibtp Charge (Ot C), ONC Lk&pke Number, 14ame of Plant)
IR do hefehy authorize
(Phone Humber O�vnerfpfratar oFSeptage Manaement Finn
(Septage Wnagenient Firm Narne aad NCS number)
to dispose of; domestic septage . portable toilet waste _.
grease septage grease trap PUmpings} �_-.-- ... commerclaVindustrial septagin from
(County or oth r Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at;
(Location)
between the hours of oi�
Reintroducing parfi2ily treated liquid iryto a grease trap is acceptable Yes
This authorization shakl be valid until _=1 MW_ _ �Z i
(t.lsualiy DeCEr 7ber 3f,Yea r)
Sign�� � date �
495��j gF, cel 1:ity Operator;
Subscribed and affirmed before rre this ,�� day of 20,
(Notary Public)
;Vy Camn~i55i0n expires;
t�AT Tpu,'bft
�}tti�:jta.No th Car,in3
Du`har.. County
Notre., Falsification of this document by the septage manEgament firm sha kiadta permit revocation.
szIsolid. Waste{CL%IS5 TACE{FDRM!W$ D18 Firm ApplicMian/ VTR AutfjorizaU jj Foam 2016

PAID
FIRM NAME: Currin's Septic Service
PERMIT #: NCS-00296
AMOUNT: $800
PAID BY: E-Check
DATE: 12/14/2021
Adam Ulishney