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HomeMy WebLinkAboutNCS01302_2022Permit_InitialNORTH CAROLINA Environmental Quality 2022 Permit and Registration FCS Pumping Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-01302 and registered as a Septage Management Firm (PUMPER) in the State of North Carolina. D-�E NORTH CAROUNA 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. Greenway Disposal, Ridgeway, SC 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 20:42:21-04'00' 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* FCS Pumping Service The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01302 Enter the five digits following the NCS # Street address of office* Street Address 224 W. Railroad Avenue Address Line 2 City State / Province / Region Rural Retreat VA Postal / Zip Code Country 24368 USA County* Out -of -State Mailing address same as street address of office?* Yes • No Mailing Address* Street Address PO Box 128 Address Line 2 City State / Province / Region Ripplemead VA Postal / Zip Code Country 24150 USA Phone* Fax 540-641-9826 Email* vcservicesinc@yahoo.com Owner Info Firm owner's name* Angela Vaught Mailing address same as street address of office?* • Yes No Phone* Fax 540-921-1460 Operator Info Firm operator's name* Donald Vaught Mailing address same as street address of office?* • Yes No Phone* Firm operator's title Operations Manager Fax 540-641-9826 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: All of North Carolina 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* 12/14/2021 Title* Operations Manager Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage 47-178P 2HSCEAPR37C439969 3,600 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* Greeenway Disposal Inc. Septage Land Application Sites (SLAS)* Yes • No Septage Detention or Treatment Facility (SDTF)* Yes • No Other disposal method* Yes • No Expiration Date* Authorization 12/31/2022 Greenway 1.01MB Disposal Authorization 2022.pdf Septage Management Firm Operator Training Completed Date* Hours* 4/22/2021 4 Location* Virtual - Online Training Sponsored or Provided by* NC DEQ - New Operator Training 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 Date 12/14/2021 10:05:33 AM Print Name* Donald Vaught Title* Operations Manager AUM#TIOi To a"+GE SEPTAGE TO A WASTEWATERTREATMENT F��tiY North Carolina Department of Env Divisionof Waste Management - manta► Quality 3 fiQb Mail Service Center Solid Waste Section Raleigh, NC 27699-.,W Fee asseSsrtients and treatment foci!' ante de%rminations will be required at nY The facility has the uitin3ate prerogative to deny on of waste incoming wastewater stream.water discharges of any wastes to the 1 ii t i l j `r' RQsiPonstble Charge �c), aacr+se L`%f p e Of SC jAddress) (cone Num#rer do hereby authorize of r y� (Owner/operator of Se — -- a Fes / It� �/// / -7�} j Ptage Management 1:irfil j -- --� #SePtage Management Firm Marne and NCS number to dispose of: ) N# CS domestic septage i/' -----� portable toilet waste grease septage (grease trap Pumpings) L,,•''' '- ---- commercialndustrial septa e from at the above named (county or wastewater r treatment facility G&aphie Brea) f tY- Septage shall be discharged at. between the hours of Reintroducing Partially treated liquid into a grease � This a ap is acceptable —._.Yes authorization shall be valid until ----.._No Cz j Z. Signed (Usually Qecern, 3 (racil Ot�erator) Subscribed and affirmed before me this t mtT ry Y —ram_ day of i' I AIDI' 20 (Notary Public) My Commission expires ri MiA KOCH C,0YMM1#8j6,qEx{�FFIeIAIs� SEAL) Note. Fa j rt of docu s-/So;; �ntasce/apse Of this do � me th � � firm shall Ptage managett AW*,i,� � zoss lead tO Permit rQn. PAID FIRM NAME: FCS Pumping Service PERMIT #: NCS-01302 AMOUNT: $550 PAID BY: E-Check DATE: 12/15/2021 Adam Ulishney