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HomeMy WebLinkAboutNCS01127_2022Permit_Initial2022 Permit and Registration David Brantley & Sons, Inc. is hereby issued a Septage Management Firm Permit, �szArr of Permit Number NCS-01127 and registered as a 1 7 e:jr D E �= Septage Management Firm Department fEnvironmental lltq MUM NU� 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-35-12 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 20:33:45 -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* David Brantley & Sons The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01127 Enter the five digits following the NCS # Street address of office* Street Address 37 Pine Ridge Rd Address Line 2 City State / Province / Region Zebulon NC Postal / Zip Code Country 27597 United States County* Franklin Mailing address same as street address of office?* • Yes No Phone* Fax 252-478-3721 Email* brantleyoffice@gmail.com Owner Info Firm owner's name* David Brantley & Sons, Inc. Mailing address same as street address of office?* • Yes No Phone* Fax 252-478-3721 Operator Info Firm operator's name* Firm operator's title Shane Brantley President Mailing address same as street address of office?* 0 Yes No Phone* Fax 252-478-3721 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 0 Portable Toilet Waste 0 Grease (Restaurant) 0 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation} List each county you plan to do business in: * Franklin, Wake, Johnston, Nash, Chatham, Wilson, Durham, Person, Granville, Vance, Wilson, Pitt, Harnett Vehicle Info 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* 11/12/2021 Title* President Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage JR-5424 3FRXF75UX5V174449 1,600 Domestic Septage YA77341 4V2SCBBE5SR515334 3,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Approved wastewater treatment plant* Yes • No 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-35-06 12/31/2020 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 #* Expiration Date* Authorization SDTF-35-06 12/31/2021 Other disposal method* Yes • No Septage Management Firm Operator Training Completed Date* Hours* 3/22/2021 3 Location* Morehead City Training Sponsored or Provided by* NC Septic Tank Association Septage Land Application Site Operator Training Completed Date Hours 3/22/2021 3 Location Morehead City 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 6�WO f Date 11/12/2021 10:05:27 AM Print Name* Title* Shane Brantley President 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.) WRE Earth Farms LLC dba Stanley Environmental Solutions (Facility Operator) 45 Green House Dr, Zebulon, NC, 27597 (Operator Address) do hereby authorize: Shane Brantley (Owner of Septage Management Firm) David Brantley & Sons NCS # 01127 (Name of Septage Management Firm) 37 Pine Ridge Rd, Zebulon, NC 27597 (Address of Septage Management Firm) to utilize septage detention or treatment facility # SDTF 35-12 for the treatment or storage of septage * in 20 22 The facility will be operated in accordance with the Septage Management Rules **. Date: 2/3/2022 * As defined in G.S. 130A-290(a)(32) ** As defined in 15A NCAC 13B .0800 Signed �Qdu Facility Operator) 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 PAID FIRM NAME: David Brantley & Sons, Inc. PERMIT #: NCS-01127 AMOUNT: $550 PAID BY: E-Card DATE: 1/31/2022 PAID (late) FIRM NAME: David Brantley & Sons, Inc. PERMIT #: NCS-01127 AMOUNT: $275 PAID BY: E-Card DATE: 2/23/2022 Adam Ulishney