NCS01369_2022Permit_Initial

NORTH CAROLINA
.Environmental Quality
2022
Permit and Registration
MP Pumping LLC
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01369
and registered as a
Septage Management Firm
(PUMPER)
in the State of North Carolina.
Q:>
NORTH CAROLINA �E
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. Archie Elledge WWTP, Winston-Salem, 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
20:48:53-04'00'
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*
MP Pumping, LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01369
Enter the five digits following the NCS #
Street address of office*
Street Address
823 Arbordale Ave
Address Line 2
City
State / Province / Region
High Point
NC
Postal / Zip Code
Country
27262
United States
County*
Guilford
Mailing address same as street address of office?*
• Yes No
Phone* Fax
336-906-4883
Email*
[e-mail]
Owner Info
Firm owner's name*
Michael owner
Mailing address same as street address of office?*
• Yes No
Phone* Fax
3369064883
Operator Info
Firm operator's name* Firm operator's title
MP Pumping, LLC
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
3369064883
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 50,000
Portable Toilet Waste 0
Grease (Restaurant) 450,000
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation}
List each county you plan to do business in: *
Davidson Guilford Stokes Forsyth Randolph
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 of MP Pumping
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Grease (restaurant) ya160340 1fubc5cvx7hy68208 4,000
Domestic Septage ya134421 2fzacgcs44an09118 2,500
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*
Matthew Lavigne-ww#997822 Archie
Elledge Wastewater Facility
Septage Land Application Sites (SLAS)*
Yes • No
Septage Detention or Treatment Facility (SDTF)*
Yes • No
Other disposal method*
Expiration Date* Authorization
12/30/2021 Authorization 346.7KB
to Discharge
WS.pdf
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
10/19/2021 4
Location*
Canton, NC Sylva, NC Area
Training Sponsored or Provided by*
NC Septic Tank Association
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
12/13/2021
11:11:46 AM
Print Name* Title*
336-906-4883 owner

AUTHORIZATION 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.
1, Matthew Lavigne- WW#997822-Archie Elled e Wastewater Facility
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
2801 Griffith Rd. Winston-Salem NC 27103
(Address)
336-765-0130 do hereby authorize Michael Price
(Phone Number) (Owner/Operator of Septage Management Firm)
of MP Purnoing LLC NCS # 01369
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X , portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage from
Winston-Salem Fors th County and Ad'acent Counties
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Archie Elled e Wastewater Facility
(Location)
between the hours of 6:00 am until 6:00 pm Monday Through Saturday
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 Date — 7-
(Fa ' y Operator)
Subscribed and affirmed before me this is day of 'Z`7 , 20__�_
My Commission expires: 07 h 0 1 TIC ZZ
(Notary Public)
REBE_CCA A. G�S
ortaroi
NntaryPublic-NrL
COUNTY OF 3 ORS T
My Commission Expies DIL30 Zo
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
5:/Solid_Waste/CLA/SFPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018