NCS01352_2022Permit_Initial

2022
Permit and Registration
Casey's Portable Toilets
is hereby issued a Septage Management Firm Permit,
A
Permit Number NCS-01352
F:
r, s
Q,
oand registered as atA�
Septage Management Firm DepartORTHment ntofCAR n NA
Department of Envlronmenlal quality
esr, UAM
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. Anson County Regional WWTP, Wadesboro NC 3. Moore County Water Pollution Control Plant, Aberdeen NC
2. Laurinburg Water Treatment Plant, Laurinburg 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
20:47:39-04'00'
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*
Casey's Portable Toilets
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01352
Enter the five digits following the NCS #
Street address of office*
Street Address
6901 WALTERS RD
Address Line 2
City
State / Province / Region
GIBSON
NC
Postal / Zip Code
Country
28343
United States
County*
Scotland
Mailing address same as street address of office?*
• Yes No
Phone* Fax
9102173878
Email*
[e-mail]
Owner Info
Firm owner's name*
Casey Locklear
Mailing address same as street address of office?*
• Yes No
Phone* Fax
9102173878
Operator Info
Firm operator's name* Firm operator's title
Casey Locklear Owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
9102173878
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic
0
Portable Toilet Waste
78,000
Grease (Restaurant)
0
Treatment Plant
0
Industrial/Commercial
0
North Carolina counties of operation}
List each county you plan to do business in: *
Scotland Robeson Hoke Moore Montegomery Lee Brunswick Anson
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*
12/15/2021
Title*
Owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage*
License Tag #*
Vehicle Identification #*
Tank Capacity*
Portable
Toilet
Waste
TBH-8324
1GBE5C1276F421636
500
Portable
Toilet
Waste
TCN-9865
1GDE4C1225FT506215
500
Portable
Toilet
Waste
TCN9194
1FDXF46S84EC78498
500
Portable
Toilet
Waste
PKE9327
1FTWX33SX4EA35495
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
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*
Anson County WWTP
City of Laurinburg
County of Moore
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 AUTHORIZATION 492.7KB
TO DISCHARGE
SEPTAGE TO A
WASTEWATER
TREATMENT
FACILITY.pdf
12/31 /2024 image_648732... 145.42...
12/31/2022 AUTHORIZATION 504.79...
TO DISCHARGE
SEPTAGE TO A
WASTEWATER
TREATMENT
FACILITY
(1).pdf
Septage Management Firm Operator Training Completed
Date* Hours*
12/4/2021 4
Location*
Raleigh Nc
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
Date
12/14/2021
10:22:15 PM
Print Name* Title*
Casey Locklear Owner

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
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.
1, Stephen G Mor an, ORC, Biological WW Operator 4 #997509. Moore County Water Pollution Control Plant
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
of
1094 Addor Road Aberdeen, North Carolina 28315
(Address)
910-947-4543 do hereby authorize CCc5 C (—� i.,C) C_C Iecc-C
(Phone Number) (Owner/Opera4 of Septage Management Firm)
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage Yes portable toilet waste Yes _
grease Septage (grease trap pumpings) No commercial/industrial septage ao , from
Within the boundaries of Moore County, North Carolina OR a contracted service area of the WPCP
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Septic Receiving Station located at the Moore County WPCP (unless otherwise specified by the ORC)
(Location)
between the hours of 7 00am to 5 OOpm, Monday thru Friday (excluding observed holidays)
Reintroducing partially treated liquid into a grease trap is acceptable Yes No No
This authorization shall be valid until December 31, 2022
(Usually December 31, Year)
Signed —- Date
(Facility Operator)
Subscribed and affirmed before me this 2 2)�tct day of NO U 20_
(Notary Public) Toni 8 1 11ingion
My Commission expires: August s. 2025
```x"' SKiELL "' ,.
( k" ss.A.L;r �p
amC.
Note: Falsification of this document by the septage management firm ,hall lead to perr:.it
S:,'sand Waste/CLA/SEPTAGE/FORMS/2016 Frrm Appkation/W WTP Authorization roan 2010
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i
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
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, GARY GARRISON, 990415, ANSON COUNTY REGIONAL WASTEWATER TREATMENT PLANT
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
POST OFFICE BOX 553 WADESBORO NC 28170
(Address)
704 994-3281 do hereby authorize CASEY LOCKLEAR
(Phone Number) (Owner/Operator of Septage Management Firm)
of CASEY'S PORTABLE TOILET NCS # NCS01352
(Septage Management Firm Name and NCS number)
to dispose of: domestic Septage 1XI portable toilet waste IXl
grease Septage (grease trap pumpings) commercial/industrial septage from
ANSON CUMBERLAND HOKE MOORS RICHMOND ROBESON & SCOTLAND COUNTY NC
CHESTERFIELD DILLON & MARLBORO COUNTY SC
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
THE MAIN LIFT — WWTP SITE —1360 HOLLYWOOD ROAD WADESBORO NC
(Location)
between the hours of 7:30am & 4:30 m Monday — Saturday
Reintroducing partially treated liquid into a grease trap is acceptable Yes `[X]_No
This authorization shall be valid until DECEMBER 31 2022
q� (Usually December 31, Year)
Signed _ C—��Date 11 22 2021
U (Facility Operator)
Subscribed and affirmed before me this 22"ciday of Novernkr 2
(NoMy Commission expires: May 12 2024
tary Public)
(OFFICIAL SEAL] 4
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WWTP Authorization Form 2016

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PAID
FIRM NAME: Casey's Portable toilets
PERMIT #: NCS-01352
AMOUNT: $800
PAID BY: E-Card
DATE: 12/20/2021
Adam Ulishney