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