NCS00977_2022Permit_Initial

2022
Permit and Registration
Advanced Portable Toilets (Morehead City)
is hereby issued a Septage Management Firm Permit,
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Permit Number NCS-00977
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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. Scientific Water & Sewage, Jacksonville NC
2. Morehead City WWTP, Morehead 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.
Digitally signed by
Wm Perry Sugg
Date: 2022.10.02
20:32:40-04'00'
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*
Advanced Portable Toilets
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-977
Enter the five digits following the NCS #
Street address of office*
Street Address
802 Fontana Blvd
Address Line 2
City
State / Province / Region
Havelock
NC
Postal / Zip Code
Country
28532
United States
County*
Craven
Mailing address same as street address of office?*
Yes • No
Mailing Address*
Street Address
321 Jeffries Road
Address Line 2
City
State / Province / Region
Rocky Mount
NC
Postal / Zip Code
Country
27804
United States
Phone* Fax
2524433670 2524423193
Email*
[e-mail]
Owner Info
Firm owner's name*
Brian James
Mailing address same as street address of office?*
Yes 0 No

Mailing Address*
Street Address
321 Jeffries Road
Address Line 2
City
Rocky Mount
Postal / Zip Code
27804
State / Province / Region
NC
Country
United States
Phone* Fax
2524423193 2524423193
Operator Info
Firm operator's name* Firm operator's title
Brian James President
Mailing address same as street address of office?*
Yes • No
Mailing address*
Street Address
321 Jeffries Road
Address Line 2
City State / Province / Region
Rocky Mount nc
Postal / Zip Code Country
27804 United States
Phone* Fax
2524433670 2524423193
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 0
Portable Toilet Waste 93,600
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in:
Carteret, Craven and Onslow
Vehicle Info
Do you plan to operate pumper vehicles?*
0 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
ff-&;WAZIW�
Date*
12/28/2021
Title*
President
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Portable Toilet Waste je7004 3hammmml3j1581236 900
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* Authorization
Morehead City WWTP 12/31/2022 morehead city 519.43...
dump 2022.pdf
Scientific WWTP 12/31/2022 Scientific 520.97...
WWTP.pdf
Septage Land Application Sites (SLAS)*
Yes • No
Septage Detention or Treatment Facility (SDTF)*
Yes • No
Other disposal method*
Yes 0 No

Septage Management Firm Operator Training Completed
Date* Hours*
12/4/2021 4
Location*
Raleigh Fair Ground
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
ffmqw 07awylv
Date
12/28/2021
03:09:16 PM
Print Name* Title*
Brian James President

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-i646
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.
nJ f i �' i (l J I M i
(Plant Operator in Responsible Charge (ORC), OR£ License Number, Name of Plant)
t
(Phone Number)
(.Address)
do hereby authorize
(ov,ner/operator of Septage Management Firm)
of
(Septage Management Firm Name and NCS number)
to dispose of: domestic Septage __.. portable toilet waste
grease septage (grease trap pumpings) _ commercial/industria Septage _ _ , from
a
(County or other 3eographic Area)
at the above named wastewater treatment facili _y. Septage shall be discharged at:
4 f4-
(Loca pion )
between the hours of $.^^`
Reintroducing partially treated liquid into a grease trap its acceptable Ves No
This authorization shall be valid until'u`
(Usually Dezi-mber 21,'Vear)
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'rx
Signed _-__._.__-- date __--
(Facility Operator)
`� day _�th 20Q I
Subscribed and affirmed before me th s'e— Y of __�_� ���lrrrrrrrr,,
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My Commission expires - - .
/V Q
(Notary Public) _ �y • O � 9
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(OFFICIAL 5�=� ; C
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pG ,
Note: Falsification of this document by the septage management firm shall lead to permit revocation. �0,
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5-jSaiia_Lh+acteJrtAJ EPTAGE,'FORNj 2L)L8 Firm. ApptitadonPVVVNTb Autn©ri7ation :-arm 2018

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..
7
f^ t U t
it c` IS cS JL� n1 ,! �' " ` 1 i ! M i•`/ � �'
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
(Address)
#Iv,•
do hereby authorize , �;''d
(Phone Numbed (O%ner/Operator of Septage Management Firm)
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage _, portable toilet waste
grease septage (grease trap pumpings) -- _ commerc.al/industrial septage , from
Z
-_— - (County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
(Location)
between the hours of.m
Reintroducing partialiy treated liquid into a grease trap is acceptable Yes No
This authorization shall be valid until1�_)"eU`,�� t_
(Usually Dec:ernbrr 11, year)
Signed date
i,- ---
(Facility Operator)
Subscribed and affirmed before me th;sD—f e � day ofj , 2 �"'JV1411111r,►0"'',
My Commission expires: -1Q Zb2 b.,` d� R�ti '---
(Notary Public) = ni O '• i
-A -
,A -
(OFFICIAL S; , C
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� , co Z
Note: Falsification of this document by the septage Ynanag ectt Rrnn shalt lead to permit revocation. '-,� r!/�' , _ . _ . - ,`4b
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PAID
FIRM NAME: Advanced Portable Toilets (Morehead City)
PERMIT #: NCS-00977
AMOUNT: $550
PAID BY: E-Check
DATE: 12/30/2021
Adam Ulishney