NCS00470_2022Permit_Initial

2022
Permit and Registration
Boswell & Son Septic Tank Service, Inc.
is hereby issued a Septage Management Firm Permit,
tszArr of
"� Permit Number NCS-00470
0
o and registered as a e:,e D.E Q
NORTH CAROLINA
` a= Septage Management Firm Department ofEnvironmental Quality
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 Facilities, SDTF-33-06 and SDTF-98-08
2. Septage Land Application Site, SLAS-33-06
3. Tar River Regional WWTP, Rocky Mount 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. Digitally signed by Wm
Perry Sugg
Date: 2022.10.02
20:27:32-04'00'
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
Y DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The "Firm name" must be exact] as it is shown on your vehicle(s)).
Street address of office: tm 1p I 4q6les M1 l PonA 2d.
City: oState: pfC_ Zip: Z 0
Mailing address (if different):
City: State. Aft_ Zip 2r1 S' S'
Phone: ZS L 32� q Fax:
E-MaT b o-I s o c `.A # cam
Countj: c_oey, Septage Management Firm permit number: NCS# 4170
(2.) Firm owner's name: 8 a
Mailing address (if different): "s Q--
City:—
Phone:
State: _Zip
ax:
(3.) Firm operator's name: B I &k e 80sw e-1 I. Firm operator's title:
Mailing address (if different):
City:_
Phone:
State. Zip:
Fax:
Ptcc .
(4.) Type(s) of septage pumped: Write in Vie numbef of gallons pumQed in last 12 months (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease (Restaurant) Treatment Plant
(5.) N.C. Counties of Operation: a� c�4 Co m+n�, z �W i Vs& f1ad
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: -- . _ I
Number used for: Domestic Septage: 3 Grease (restaurant):
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
License Tag # _-MVehicle Identificationa�
2 It Pr
_ Np34.rOX"0 1-71937-5
Tank
_Capacit
2sov
ustrial/Commercial
a0 _
APPLICATION CONTINUED ON PAGE 2
AL
PAGE 1 D

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) Oyes ( ) no.
If you checked yes above, you must attest to the following statement before a permit may be issued.
"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 are significant penalties for false certification including the
possibility of fine and imprisonment."
Do you attest to the statement above? Oyes ( ) no Initial C19,B Date_ 1- J-- 2
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( v,) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each
plant. as indicated in Subparagraph .0834(c)(14) of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS: 55-010 Expiration Date: iQ 1 i 31 SLAS#: Expiration Date:.
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: BZ "-V r Expiration Date:i0 f l SDTF* 9?8 - o Expiration Date:
(9.) Septage Management Firm Operator Training Completed:
Date, a1- A - Z 1 Location: Mae-t-Vic&A _
Training Sponsored or Provided by: 0 e.5-t-^
(10.) Septage Land Application Site Operator Training Completed:
Date, - q 21 Location: %y�dn�lla�d
Training Sponsored or Provided by: #C-3
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Finn:
Registered Septage Management Firm: _ /�
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours:_
Hours:
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.
Si ture ( rgnature of company 'cia! required)
. IR]&K�e_ has We.� 1
Print Name
Other Comments:
Date
/-9--Z
■
rrAGE 4
Rev 04-26-2021

Nary SEPTAG[d MANAGEMENT FIRMI,
Recertification of Pumper Vehicle(s)
Septage Firm Permit #: NCS- 14110
Number of Pumper Vehicles: a -
CERTIFICATION:
"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the
submitted permit application meet the requirements for safe and sanitary
transportation of septage as required by15A NCAC 13B .0844 (a) and vehicle
lettering as required by 15A NCAC 13B .0844 (b). I also certify that a log is
maintained of each septage pumping event as required by 15A NCAC 13B .0839
(a). I am aware that there are significant penalties for false certification including
the possibility of fine and imprisonment."
Ak, -
Signature (Signature of company official required)
v
Print Name
!/- k— 2-
Date
A
V wAAIL Z f4lalll-L—
Title
S:1Solid Wastelclalseptagelforms\Pumper Vehicles Cetification.doc

AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE LAND APPLICATION
SITE PERMITTED TO SOMEONE OTHER THAN YOURSELF
(This form is used by a land application site permit holder to indicate that permission has been
given to a permitted Septage Management Firm to land apply septage on the permit holders
land application site.)
(Site Operator)
p® gok 23(e g5kxr N IP W�j ASC
(Oper` or Address)
do hereby authorize: w
(Owner of Septage Management Firm)
(Name of Septage Management Firm )
jpkok ,Sol=,lej MELI PvekA P-A, OZOC-
(Septage Management Firm Address)
to use septage disposal site # _
Date: _ _ a."
for the disposal of 350 Cc-c-` _ gallons of septage* in 20
Signed
(Site Operator)
* As defined in G.S. 130-A-290(a)(32). The site will be operated in accordance with 15A NCAC 13B
.0800 - Septage Management Rules
Return the properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646

AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR
STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF
(This form is used by a detention or treatment facility permit holder to indicate that permission
has been given to a permitted Septage Management Firm to discharge septage into the permit
holders detention or treatment facility.)
I, 11? 1 a.k C- vve-t
(Facility Operator)
1
Q© . Gox 23 cP C5'k0Lf' sb r cr
(Operator Ad ress)
do hereby authorize: &k t%sr wa -
(Owner of Septage Management Firm)
SW c, NC5# 44170
(Name of Septage Management Firm)
(otc5\ ►-yolo%.C.S Aki L' Pon 4 • PA. 6Z-ac-kll
(Address of Septage Management �1 "
Firm)
NC
to utilize Septage detention or treatment facility # 3 7i - o b for the treatment or storage of
Septage *
in 20 The facility will be operated in accordance with the Septage Management Rules **.
Date: Z ( Signed
(Facility Operator)
* As defined in G.S. 130A-290(a)(32)
** As defined in 15A NCAC 13B .0800
Return the properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646

AU I HORILA I ION 1-0 DISCHARGE SEP 1-AGE A I A SEI' 1 AGE I REA I ME I OR
STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF
(This form is used by a detention or treatment facility permit holder to indicate that permission has been given to a permitted
Septage Management Firm to discharge septage into the permit holders detention or treatment facility.)
UalIWI L IMMbU11W
441 Buck Newsome Rd. Fremont, NC 27830 (Facility Operator)
(Operator Address)
Blake Boswell
do hereby authorize:
(Owner of Septage Management Firm)
Boswell & Son Septic'I ank Service 00470
NCS #
(Name of Septage Management Firm)
419 Flood Store Rd. Rocky Mount, NC 27803
(Address of Septage Management Firm)
(00953)
98-08
to utilize septage detention or treatment facility # for the treatment or storage of septage
in 2022._The facility will be operated in accordance with the Septage Management Rules **.
11-U1-2 i
Date: Signed
( cility Operator)
* As defined in G.S. 130A•2901a)(32)
** As defined in 15A NCAC 13B .0800
Return the property completed form to:
North Carolina Department of Environment and Natural Resources
uivision of Waste nnanagemeni
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646

RCM,'MOUNT
WATER RESOURCES
THE CENTER OF IT ALL
SEPTAOE DISPOSAL PERMIT (SDP)
Boswell and Son Septic Tank Service, Inc.
P.O. Box 236
Sharpsburg, NC 27878
CRM-00470 NIA
Permit Number 40 CFR Category
The City of Rocky Mount (City) agrees to allow the discharge of septage wastewaters collected
as described in Part 1, D, into the Tar River Regional Wastewater Treatment Facility; herein
"WWTP", at the designated disposal site:
'i ar River Regional WWTP
3 03 1. Treatment Plant Rd
P.Q. Box 1180
Rocky Mount, NC 27802-1180
Edgecombe County
NPDES Number: NCO030317
Effective date, this permit and the authorization to discharge shall become effective at midnight
on this date:
January 1, 2022
Expiration date, this permit and the authorization to discharge shall expire at midnight on this
date:
Dec,_ pnber 31, 2022
'. James Costello, Wastewater superintendent
City of Rocky Mount
Subscribed and affirmed before me this
I//
/-1
Date
_) e day of �' 20,�J._
......_ ._....._ My Commission Expires: `7
(Notary Publ*i Beverly Anne Harrelson Ricks I
NOTARY PUBLIC f OFFICIAL SEAL]
Nash County, NC

A. Basic Information:
La
SDP, PART 1, OUTLINE
A.)
Basic Information
B.)
Terms of Permit
C.)
Modification History
D.)
Description of Discharges
Receiving POTW name:
Tar River Regional WWTP
POTW NPDES #:
NCO030317
SDP Name: Permit Number:
Boswell and Son Septic Tank Service, 1 CRM-00470
Inc
SDP Original Effective Date:
January 1, 2022
SDP Expiration Date:
December 31., 2022
Location of Accepted Waste(s):
Edgecombe, Nash, and Wilson Counties
Pipe Numbers, list all regulated pipes:
Designation not applic
SDP 40 CFR # (if applicable), or N/A:
NIA
Terms of Permit
1. The customer must follow the City's Rules for Septage Haulers. These rules define
the requirements for discharging wastewater into the WWTP.
1 Only the wastewater described in Part 1, D is allowed. A sample may be collected
from each load and submitted to the laboratory for analyses. Should discharge and/or
results indicate a problem, the septage hauler will be contacted immediately and not
allowed to discharge again until issue is resolved.
3. All wastewater shall meet the Sewer Use Ordinance restrictions for pH, flammability,
metals, toxic and hazardous wastes, or any other restrictions that may be included.
4. The monthly fee for disposal shall be identified in the Septage Hauler Rates
information, Each time wastewater is to be discharged, a City form shall be
completed by the driver of the vehicle PRIOR to discharge that identifies the type of
wastewater to be discharged, volume discharged, and the address and phone number
of the location that the wastewater was generated. The original form will remain at
the WWTP; the driver shall remove the carbon copy of the form for his records.
5. Discharge shall occur during the hours of 7:30 am to 5:00 pm, Monday through
Friday. Discharge may occur after hours and on holidays for an additional charge. In
an emergency, please contact City personnel for instructions. At the discharge site,
the driver of the vehicle is to ensure that the area is kept clean and free of debris. If
there is a problem during discharge, or a spill the driver shall halt discharge and
immediately contact facility personnel. Failure to do either of these may result in
revocation of dumping privileges.
Should the Terms of Permit be violated, penalties will be imposed which may include fines
and/or loss ofidumping privileges.

C. SDP Modification History
Date Modified Reason for & Description of modifications.
10/22/2019 Changed letterhead
11/6/2020 Changed Septage Disposal Permit number from #0130 to CRM-
00470
D. Description of SDP Discharge(s).
Discharge of wastewater from approved septic tanks.
Reintroducing partially treated liquid into a grease trap acceptable _Yes X No
SDP, PART 11, OUTLINE
1.
Duty to Comply
6.
Federal and/or State Laws
2.
Duty to Mitigate -Prevention of Adverse Impact
7.
Penalties
3.
Availability of Records and Reports
8.
Transferability
4.
Duty to Provide Information
9.
Modification, Revocation, Termination
5.
Civil and Criminal Liability
10.
Re -Application for Permit Renewal
1. Duty to comply
The permittee must comply with all conditions of this permit. Any permit noncompliance
constitutes a violation of the City's SUO and may constitute a violation of state and/or federal
regulations. Therefore, any permit noncompliance is grounds for possible enforcement action.
2. Duty to Mitigate - Prevention of Adverse Impact
The permittee shall take all reasonable steps to minimize or prevent any discharge in violation of
this permit which has a reasonable likelihood of adversely affecting human health, the POTW,
the waters receiving the POTW's discharge, or the environment.
3. Availability of Records and Reports
The permittee shall retain records of collection of all wastewater to be discharged to the City's
WWTP. All records that pertain to matters that are subject to any type of enforcement action
shall be retained and preserved by the permittee until all enforcement activities have concluded
and all periods of limitation with respect to any and all appeals have expired.
Except for data determined to be confidential under the City's SUO and state and federal
pretreatment regulations, all reports prepared in accordance with terms of this permit shall be
available for public inspection at the City.

4. Duty to Provide Information
The permittee shall furnish to the Director of Water Resources or his/her designees, within a
reasonable time, any information which the Director, his/her designee may request to determine
whether cause exists for modifying, revoking and reissuing, or terminating this permit or to
determine compliance with this permit. The permittee shall also furnish, upon request, copies of
records required to be kept by this permit.
5. Civil and Criminal Liability
Nothing in this permit shall be construed to relieve the permittee from civil or criminal penalties
for noncompliance.
6. Federal and/or State Laws
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve
the pennittee from any responsibilities, liabilities, or penalties established pursuant to any
applicable federal and/or state law or regulation.
7. Penalties
The SUO of the City and state law (NCGS 143-215.6A) provides that any person who violates a
permit condition is subject to a civil penalty not to exceed $25,000 dollars per day of such
violation.
Under state law (NCGS 143-215.6B), under certain circumstances it is a crime to violate terms,
conditions, or requirements of permits. It is a crime to knowingly make any false statement,
representation, or certification in any record or other document submitted or required to be
maintained under this permit, including monitoring reports or reports of compliance or
noncompliance. These crimes are enforced at the prosecutorial discretion of the local District
Attorney.
8. Transferability
This permit shall not be reassigned or transferred or sold to a new owner, new user, different
premises, or a new or changed operation without approval of the City.
9. Modification, Revocation, Termination
This permit may be modified, revoked, and reissued or terminated with cause in accordance to
the requirements of the City's SUO.
10. Re -Application for Permit Renewal
The permittee is responsible for filing an application for reissuance of this permit at least 30 days
prior to its expiration date.

`V. -
city of Rocky Mount
North Carolina
Subject: Holiday Schedule 2022
Chapter: 6.70
Effective Date: 1-1-2022
�tPrepared By: Kena Cofield�� #Human Resourrs
Approved By: Rochelle Small--(onely, City Manager '
fj t
6.70 Holiday Schedule
The following is the holiday schedule that will be observed by the City of Rocky
Mount for calendar year 2022:
Holiday l Observance Date
i New Year's Day
January 3, 2022
Martin Luther King, Jr. Day
January 17, 2022
Good Friday
April 15, 2022
Memorial Day
May 30, 2022
l Juneteenth
June 17, 2022
Independence Day
July 4, 2022._...
Labor Day
September 5, 2022
Thanksgiving Day
November 24, 2022
i Day after Thanksgiving
November 25, 2022
Christmas Eve
December 23, 2022 l
Christmas Day
December 26, 2022
Day of Week
Monday
Monday
Friday
Monday
_ 1
Friday
Monday
Monday
I
Thursday I
Friday
Friday
Monday

PAID
FIRM NAME: Boswell and Son Septic Tank Service, Inc.
PERMIT #: NCS-00470
AMOUNT: $800
PAID BY: Check
DATE: 12/10/2021
Adam Ulishney