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HomeMy WebLinkAboutNCS01338_2022Permit_InitialNORTH CAROLINA Environmental Quality 2022 Permit and Registration Darrin's Septic Service is hereby issued a Septage Management Firm Permit, Permit Number NCS-01338 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. Robbins WWTP, Robbins 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 20:45:30-04'00' 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* Darrin's Septic Service The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01338 Enter the five digits following the NCS # Street address of office* Street Address 91 Carolina Vista Address Line 2 City State / Province / Region Robbinsville NC Postal / Zip Code Country 28771 United States County* Graham Mailing address same as street address of office?* • Yes No Phone* Fax 8287350569 Email* dlall2010@yahoo.com Owner Info Firm owner's name* Darrin Lail Mailing address same as street address of office?* • Yes No Phone* Fax 8287350569 Operator Info Firm operator's name* Firm operator's title Darrin Lail Owner Mailing address same as street address of office?* 0 Yes No Phone* Fax 8287350569 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 67,000 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: * Graham Vehicle Info^j 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* 12/13/2021 Title* Owner Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage BW5647 1GBM7H1C2YJ508260 1,600 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Approved wastewater treatment plant* 0 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 Robbinsville Treatment Plant 12/31/2022 Septage Land Application Sites (SLAS)* Yes • No Septage Detention or Treatment Facility (SDTF)* Yes • No Other disposal method* Yes • No Septage Management Firm Operator Training Completed Date* Hours* 4/22/2021 8 Location* Online 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 P 0�'� Date 12/6/2021 10:34:36 PM Print Name* Title* Darrin Lail Owner 192 Sand Ulld Ad bb n khe�mumdze5 �.,F4A. n Goa h..,�e Co...�_ V San.JuJ... nmieaa are,e ,. u...e,aK.,,n.in„ewia•n..�, x eex .a �. MIS�'��,.,0<3�.a n omme Odd ltu e.,a 6,�,:a�. nsi, ny mew.,n o .� x.�a1(Odfl 4$., i a Ft °' H� ..,.,.oMitmm.,,nxe.....,nw,..,..,sm,.,MOM w.kid ,ow,.nmd:.. PAID FIRM NAME: Darrin's Septic Service PERMIT #: NCS-01338 AMOUNT: $550 PAID BY: E-Check DATE: 11/10/2021 Adam Ulishney