NCS01294_2022Permit_Initial

NORTH CAROLINA
Environmental Quality
2022
Permit and Registration
Vann Boys' Septic Service
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01294
and registered as a
Septage Management Firm
(PUMPER)
in the State of North Carolina.
,:����D E
PfORTH CAROLINA :;.�
Department of Environmental quality
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-76-05
2. Septage Land Application Site, SLAS-76-05
3. City of Asheboro WWTP, Asheboro 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
20:41:42-04'00'
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION —1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The "Firm name" must be exa as it is shown on your vehicle(s)).
Vann BOvS' Servire-
Street address of office: 9`142 [-aheS 11r'1,W RORd
City:-Be.nn-eit State: NC- Zip: 277208
Mailing address (if different):
CRY: State: Zip
Phone: 33(2 -(9Pq - ?4149 Fax: 33(P-- S?R- 53N
E-Mail:
County: R0-ncL0th Septage Management Firm permit number: NCS # D 129q
(2.) Firm owner's name: iQO !d j ee CLn d A Q ro n Cheek
Mailing address (if different):
City: State: Zip
Phone: Fax:
(3.) Firm operator's name: Randu Cheek /Aoxon Cheek Firm operator's title: OW her
Mailing address (if different):
City: State: _Zip:
Phone: Fax:
(4.) Type(s) of septage pumped: Wrfte in the number of gallons jaumiaed in last 12 month (Example: Domestic: 50,000).
Domestic _ Portable Toilet Waste Grease (Restaurant) Treatment Plant Industrial/Commercial
(5.) N.C. Counties of Operation: 1 an(10 1&ZA Kb-Dmk9Zd,3on CAaf- am
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: 011e,
Number used for: Domestic Septage: oy12 Grease (restaurant): one
Other: _ Portable Toilet Waste: one
Vehicle Information: (use additional paper if needed)
APPLICATION CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT,FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) (cj yes ( ) 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? (v) yes ( ) no Initial Date
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( t/) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0834(c)(14) of theSeptage Management Rules.
Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#: 0-0 5 Expiration Date: SLAS#: Expiration Date:
Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: qG-05 Expiration Date: SDTF#: Expiration Date:
(9.) Septage Management Firm Operator Training Completed:
Date: 10 -- Iq - a I Location: Bur-M11 Park . 6reensbor: Hours: iQ
Training Sponsored or Provided by: iV G ` [A
(10.) Septage Land Application Site Operator Training Completed:
Date: 10 -14 -A I Location: BIA -Mi I P r bo voHours:
Training Sponsored or Provided by: NCSTH
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm: V
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.
C40
G..
Signature Signature of companyofficial required)
AigLI L Ao-ron Cheek
Print Narhe
Other Comments:
1i14s, 2l
Date
ik n
Title
Rev. 04-26-2021
PAGE 2

NC SEPTAGE MANAGEMENT FIRM
Recertification of Pumper Vehicle(s)
Septage Firm Permit #: NCS- 0 (2 Q'4
Number of Pumper Vehicles: W16
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."
Signature (ignature of company official required)
ohm
Print Name
11 1312.1
Date
l0n
Title
S:1Solid Waste%cla%septage%formslPumper Vehicles Cetification.doc

ALITHQRIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
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, Michael R. Wiseman ORC WW4#987680 City of Asheboro Wastewater Treatment Plant
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
1032 Bonkeme er Drive Randleman NC 27317 _
(Address)
336-672-0892 do hereby authorize Randy Cheek & Aaron Cheek
(Phone Number) (Owner/Operator of Septage Management Firm)
of Vann Boys Se }mac Service _ NCS# 001294
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X ., portable toilet waste
grease septage (grease trap pumpings) . X commercial/industrial septage from
Randoll )h County
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
1032 Bonkemeyer Drive, Randleman, NC 27317
(Location) 4
between the hours of 7.00 a.m. to 5:00 p.m. Monday - Friday Onl
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until December 31, 2022 _
(Usually December 31, Year)
Signed rr .0.. _ I� ...�� Date .0
(Facility Operator)
Subscribed and affirmeg before me this - ` day of _-_ , 20 2A
My Commission expires: ZUZS
( o ry Public) `,``��t111���j�I
- �'`% .ad FiVO���i
t _� �{ w�' �" (OFFICIAS�L) �i
2 N ,
Note: Falsification of this document by the Septage management firm shall lead to permit revoca
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2019 Firm Application/WWTP Authorization Form 2019
.,��Ty NC ,,��

Q.F North Carolina Department 0 Environmental Quality
Division of Waste Management
�� Solid Waste Section INVOICE
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone] fax: [phone]
email: [e-mail]
p�
Mescr]pition
Septage-Annual:
Vann Boys' Septic Service (NCS-01294)
7748 Lanes Mill Rd
Bennett, NC 27208
Number of Trucks: 1
To: Randy Cheek Aaron Cheek
Vann Boys' Septic Service
7748 Lanes Mill Rd
Bennett, NC 27208
Date: 09/20/2021
Invoice #: NCS-01294-2022
Ampunt .Due
$550.00
/ I
1t <<�
Total Amount Due $550.00
Date Due 12/15/2021
E-Check - Available online at http:/Igo.nodenr.gov/swpay
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card - Available online at http://go.ncdenr.gov/swpay
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. if a zip code is not listed, use the code: 99999 along with the invoice number.
['Convenience Fee of 2.65% added to amount Invoiced.]
Paper check - Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number on
check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy of
this invoice with your payment.
[G.S. 25-3-506: A $25.00 processing fee will be charged on all retumed checks.]
Explanation of Invoice Amount is Based on Facility s Current Permit Status:
Pursuant to North Carolina General Statute 130A-291.1 you are required to pay fee(s) based on your solid waste management activities. The fee(s)
shalt be used to support the septage management program.
Solid Waste Contacts:
Billing process:
Alby Alexander [phone]
Regulations and Technical Assistance:
Adam Ulishney [phone] Septage Management Firms, Land Application Sites, Detention Facilities
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - http://deq.nc.gov
North Carolina Solid Waste Program - http://deq.nc.gov/ahout/divisions/waste-management/solid-waste-section
North Carolina Electronics Management Program - http://deq.ne.gov/about/divisionswwaste-managementlelectronies-management
North Carolina Septage Program - https://deq.nc.gov/aboutldivisionstwaste-managementlwaste-management-ruies/septage
NC Solid Waste Invoice Form I--2016

PAID
FIRM NAME: Vann Boys' Septic Service
PERMIT #: NCS-01294
AMOUNT: $550
PAID BY: Check
DATE: 11/16/2021
Adam Ulishney