NCS00703_2022Permit_Initial

2022
Permit and Registration
HST Inc.
is hereby issued a Septage Management Firm Permit,
tszArr of
Permit Number NCS-00703
0
o and registered as a e:-oo DE
NORTH CAROLINA
` a= Septage Management Firm Department ofEnvlr nmentalquality
E#f 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 Forest WWTP, Forest NC
2. Town of Spindale, Spindale NC
3. Septage Detention or Treatment Facility, SDTF-81-05
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. D 11 d b
igita y signe y
Wm Perry Sugg
Date: 2022.10.02
20:29:58-04'00'
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*
HST Inc.
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00703
Enter the five digits following the NCS #
Street address of office*
Street Address
1356 Race Path Church Rd
Address Line 2
City
State / Province / Region
Mooresboro
NC
Postal / Zip Code
Country
28114
United States
County*
Rutherford
Mailing address same as street address of office?*
• Yes No
Phone* Fax
8284530548
Email*
[e-mail]
Owner Info
Firm owner's name*
HST INC .
Mailing address same as street address of office?*
• Yes No
Phone* Fax
8284476494
Operator Info
Firm operator's name* Firm operator's title
Thomas Harris CEO
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
828-429-7801
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic
700,000
Portable Toilet Waste
125,000
Grease (Restaurant)
60,000
Treatment Plant
0
Industrial/Commercial
0
North Carolina counties of operation}
List each county you plan to do business in: *
Cleveland, Gaston, McDowell, Polk, Rutherford, Lincoln
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
Date*
12/7/2021
Title*
OWNER
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage*
License Tag #*
Vehicle Identification #*
Tank Capacity*
Domestic Septage
YA129136
2NLPHZ7X15M848467
2,500
Grease (restaurant)
YA92637
2NP2HJ7X9H445789
2,500
Domestic Septage
YA92638
1HTCDAAN6XH611811
2,500
Portable Toilet Waste
CL6929
3FRWF75F17V443745
2,000
Portable Toilet Waste
DM4414
JNAMNB80H97AN60557
1,000

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* Expiration Date*
Town of Spindale 12/31/2022
Town of Forest City 12/31/2022
Authorization
TOSpindale . p... 190.89...
TOFC. pdf 253.05...
Septage Land Application Sites (SLAS)*
• Yes No
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
SLAS-81 -05 4/26/2022 LandAppPermi... 279.28...
Septage Detention or Treatment Facility (SDTF)*
• Yes No
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 #*
SDTF-81-05
Other disposal method*
Yes • No
Expiration Date*
4/26/2022
Authorization
Septage Management Firm Operator Training Completed
Date* Hours*
4/21/2022 4
Location*
Hickory, NC
Training Sponsored or Provided by*
NC Septic Tank Association
Septage Land Application Site Operator Training Completed

Date Hours
4/21/2022 3
Location
Hickory
Training Sponsored or Provided by
NC Septic Tank Association
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
12/7/2021
07:06:52 AM
Print Name* Title*
Thomas W Harris Owner

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management -Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
Fee assessments and waste determinations will be required at the discretion of the wastewater
treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incoming wastewater stream,
9J 7a2 �>q—p�.ATown of Spindale
(Plant Operator in Responsible Charge (ORC), ORC license Number, Name of Plant)
327 Ecology Street Spindale NC 28160
(Address)
828-286-3407 do hereby authorize
(Phone Number)
Of
luwner/Operator of Septage Management Firm)
ixprage Management Firm Name and NCS number)
to dispose of! domestic septage XXX portable toilet waste
grease septage(grease trap pumping,( commercial/industrial Septage from
Rutherford CountyCleveland County
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
The influent distribution box inside the plant
(Lobetween the hours of 8:00 AM & 3 0Oc) PMnNo weekends or Holidays
Reintroducing partially treated liquid into a grease trap is acceptable _yes xxx No
This authorization shall be valid until
(Usually December 31, Year)
Signed
Date ' 4 �7 /
(Facility Operator)
Subscribed and affirme before me this s
\e I day of
(Notary Public) 2
My Commission expires: aQa
<<J �pA R if �b01
(oraTnhi s;,24���
6 c
Note: Falsification of this document by the Septage management Arm shall lead to permit tioN(I' S:/SOIIdWaSte/CLA/SEPTAGE/101.S/2O18 nrm APPIICatbn/WWTP Authori'Ab, Form 2O18

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental quality
Division of Waste Management -Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
Fee assessments and waste determinations will be required at the discretion of the wastewater
treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incoming wastewater stream.
I,— Jacob Hodge Bioloelcal W W41002183 Town of Forest City Wastewater Treatment
Plant (Plant Operator In Responsible Charge (ORC), ORC Ucense Number, Name of Plant)
397 Riverside Drive, Forest City NC, 28043
(Address)
[phone] do hereby authorize Tom Harris
(Phone Number) (Owner/Operator of Septage Management Firm)
of _ Harris Septic Tank Service 828)453-0548 NfSg 00703
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage from
Rutherford County
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Septage receiving station prior to Influent screen. Screen to be raked and screenings placed In dumpster
between the hours of 8:00 am - 4:00
Reintroducing partially treated liquid Into a grease trap is acceptable X Yes _No
This authorization shall be valid until— Decgmher 312022
p �® (Usually December 31, Year)
J Signed .cv/ IL/ Date
ell (Fadlii4 Ope tor)
Subscribed and affirmed before me this D,g�.__ day ofC>a&ba r. 20 2-1
iA^e My Commission expires: 9-i qr
(Notary Public) �J;,OL-VN S WcO..
PUBLIC
Note: Falsification of this document by the septage management firm shall lead to permit
SjSolld Waae/CtA/SEnAGE/FORMs/2018 R. APplfotlon/WW AuMohaeon Form M18

PAID
FIRM NAME: HST Inc
PERMIT #:
NCS-00703
AMOUNT:
$800
PAID BY:
Check
DATE:
10/8/2021
Adam Ulishney