NCS01375_2022Permit_Initial

2022
Permit and Registration
Smale Septic
is hereby issued a Septage Management Firm Permit,
tszArr of
Permit Number NCS-01375
0
o and registered as a e:-e D:;.�EQ2�
` a= Septage Management Firm Department ofEnvironmental Quality
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. Central Johnston County Regional WWTP, Smithfield, NC
2. Cross Creek WRF, Fayetteville, NC
3. N. Harnett Regional WWTP, Lillington, NC
4. Norman H. Larkin WWTP, Clinton, 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
—6�� Wm Perry Sugg
Date: 2022.10.02
20:50:01-04'00'
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*
Smale Septic LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01375
Enter the five digits following the NCS #
Street address of office*
Street Address
577E Dixon Road
Address Line 2
city
State / Province / Region
Willow Spring
NC
Postal / Zip Code
Country
27592
USA
County*
Johnston
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
9199170683
Email*
[e-mail]
Owner Info
Firm owner's name*
Jeffrey Smale
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
9199170683
Operator Info
Firm operator's name*
Firm operator's title
Jeffrey Smale
Owner/Operator
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
9199170683
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 1 20, 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: *
Johnston, Harnett, Wake, Cumberland, Sampson
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
F& "
Date*
12/14/2021
Title*
Owner/Operator
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage YA131845 1M1AA13Y2TW059352 3,400
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
Central Johnston County RWTP 12/31/2022 2022- 229.05...
Johnston-
Authorizatio...
Cross Creek WRF/Rockfish Creek WRF 12/31/2022 2022- 186.36...
Fayetteville-
Authorizatio...
North Harnett Regional WWTP 12/31/2022 2022-Harnett- 162.7KB
Authorizatio...
Norman H. Larkins WPCF 12/31/2022 2022-Clinton- 223.19...
Authorizatio...
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*
9/21/2021 4
Location*
The Pond at Lazy 0 Farm 403 Old Olive Rd Smithfield NC
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
12/14/2021
03:00:00 PM
Print Name* Title*
Jeffrey Craig Smale Owner/Operator

PAID
FIRM NAME: Smale Septic
PERMIT #: NCS-01375
AMOUNT: $550
PAID BY: E-Check
DATE: 12/15/2021
Adam Ulishney

AUTH0RIZATION TO DISCHARGE SEPTAGE TO A 1 ASTE ATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Sectlon
1646 Mall Service Center, Raleigh, NC 27699.164
Fee assessments and waste determinations will be required at the discretion of the wastewater
treatment facility_ The facility ha$ the ultimate prerogatIve to deny discharges of any wastes to the
Incoming wastewater stream.
Blake: Raynor, 10011 0, Norman H. Larkins WVffP
(Plant Operator In Responsible Charge (011C), ORC License Number, Name of Plant)
13 Mill Branch Road, Clinton, NC 28328
IAddressi
( 19) 299-4 9$doherebyailthorize Jeffrey Sm l
(Phone Numbwr (ow nE'r/operator of Sep#age Management Firm)
of male Septic, LLC NCS a 01375
( Septa ge Management Flrm Name anti NCS nurnberI
to dispose of: domestic septage portable toilet waste
grease septage (grease trap pumpings) NOT ACCEMEb corn rnercIa1/IndList rial septage NOT AGCEME0 from
Sampson and surrounding counties
(County a other Geographic Area)
at the above named wastewater treatment facIlity. Septage shall be discharged at;
Norman H. Larkins WP F, 123 Mill Branch Road, Clinton, N
Mcation)
between t he hours of TOD AM to 3,31) PM;anur hours upon approval)
Re I nt rod uc I n g partially treated Ilquld into a grease trap is acceptable Yes ZNO
This authorization shall beva er,til December 31, 2022
(UsU zirly E1�icerrrhCr 31, Yedt}
Signed Date
(Facility Operator
Sub dbed and affirmed before mel i 2nd Clay of d 0
µ My Commission expfres:
;Ty Ora ry Pu c} NatOD 910
*MF LC
Wakj C43UR i
y 0Z lteli November 00, 2022
Hate; Faislficatian of this document by the septage management Firm shall Iead to permit revoeatlan_
S!/SalIcl.W w-jCWSEPTAGE)FORMS/2018 Fwrm AppllulIooMWTP AutlkorlralIon fufm 2018

AUTHORIZATION TO DIHAR E SEPTAGETOAWASTEWATER
TREATMENT FACILITY
Norlh Carolina Deparlmertt of Environmental Qualily
[Division of Waste Management • Solid Waste Section
1646 Mail Service [ether, Raleigh, N.C. 27699-1646
Fee assessments and waste determinations will be required at the discretion of the wastewater Ireatment
facility. The facility has the ullimate prerogative to deny discharges of any was(es lip the incoming
wastewater stream,
I, Scott McCoy # 4382 _ Cross Creek W RF I Rockfish Creek WRF
;Plana Operalar iii Res;,an366 CIiarya lORO), URC License Number. Name of Plant
P.O, Sax 1089 Fayatteville, NG 28302-1D89
(Address)
{9101223-4700 do henaby Authorize _ Jeffrey Craig $male
f Pr one Nurnlirr1 (Nnori0poratw ai u%ap Manaatimflnt Firml
of Smale Septic, LLC N S# 01375
(Sap op Wina9lowni Flan KnmA t 4nrsd NCS n1imtwrD
to dlspese of; domestic sep#age X , portable laitet waste
grease septage {grease trap pumpings} cernmercialflndustrial septage , from
Cumberland & surroundina countles
(County or other Geographlc Area)
at the above named wastewater trealment facility. Septage shall be discharged at;
Faclilty Influent Pump Station
(Lucalim)
between the hours of Sunrise to Sunset
Reintroducing partially treated ilquld into a grease trap is acceptable Yes _ No
This autherizalion hall be valid until December 31, 2022
Signed Date_wf 1z {
(radlity p rii or)
Subscribed and affirmed before me kris . ;, � day of 2, `
`,-- ---- -_ - - My Commission expires; August 15, 2024
(Nolary Publlc) *4�ykl lf11/,tj 0,
MAE
Nato: Falls Iticallon of Ilila dauumunl by Ilia saplago manmile mant Ilrm shall lead to pamllt ravocatEol,
PURLIc
S,lSolld waste-'CbVSEPTAGEiFORMS?2072 Firm AppllcolloftW VTP Aufharizailan Forrn 20n Si

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Uepartrnent of Environmental Quallty
Division of Waste Managemimt - Solld Waste Section
1646 Mall Service Center, Raleigh, NC 27699-1646
Fee assessments and waste determinatiorls will be required at the discretion of the wastewater
treatment facility, The facility has the ultimate preraga tive to deny discharges of any wastes to the
incoming wastewater strearn-
Billy J Thomas (Grade IV WWN995445), 14,11-11arnett Regional 1NWTP NPOES * NCO021635
607 Edwards Brothers Drive Llllington NC 27546 910-893-24 4
Do hereby authorize -rk_ r.,&AP. of _ r,r%zLAc �iti� L-�C- NCS #
(This will also include duly appointed drivers of the company)
To dispose of . domestic saptage and for portable toilet wastes at the above named WWTP,
eplage shall be discharged at. Beptage Recelving Station at NHRWWTP
between the hours of 7 A t 5 PM Nov -March arid 7 AM -- 6 PM Apr-Ocl
Mon -Fri (except Holidays)
This authorization shall be valid untll .1 - 1-22
Signed *` Date
(Facility Operator
y tamra�tilo 1s
Subscribed and affirmed before ma this � day of ozi
• .-. OFFICIAL SEAL
i a NOtDry PU 11,". North Carc1,na
ounty'of Hametl
Carolyn KC Murayama
FEB 10 2024
My Commission expires;
(OFFICIAL SEAL)
Note; Falsification of thls document by the septage management firm shall lead to permit revocation.

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT f✓ACUTY
Noah Carolina DeparlmenIof Fnvlrannlent and Natkual Resources
D1vfslon of Waste Managemeni - Solld Waste Section
401 Otreriin Rd., Ste. 150, Ralelgh, N.C. 27605
Fee assessments and wasle delermfnakions will be required at the discretion of the wastewater treatment
facility_ The facility has the uIllmate prerogalivo to deny dischapgas of any wastes to 11he inmMing
wastewater stream.
I, John D. Wall Celtitral Jahnslon County Regional Wastewater Treatment Plant
(Plant operelor and Name of Rani)
Post Office Box 243 Smithfiald North Carollne 27577
(Addreml
r919t 09-5075 o hereby authorize t1 S# 4i375
(Ja�rprw hluJllbbr� p al r,� trpkag4 Ma5�0j4ment f�r[CI}
of ,$maia Seudc, LL . 577E Dixon Road..UYrflow Spfing, NC. 27592
�Sepiage Manopmeni Firm Frame end sddr$ns)
to dispose of, domestic septage x portable toilet waste }
.Johnston County flocs not accept grease traps anil pumpings.
Johnston C ffifrilV. North Carollina
.___. (caunq or Dipiar Geographic Area) - — -
al the above named wastewater Ire@ImenI facilely, Septago shall be d Ischarged at -
Johnston County Sludge Handling Fad lity, 680 Counly Home Road SmilMeId. North Carollna
(L.ocatlon)
between the Fours of 8;t}4 AM Ihru 4:45 P.M.-Manday through Frilday.
Ralin#rodw;ing partlally treated IIquId into a grease trap Is acceptable Yes X No
This aulherizatian sfralI be valid unlli December31, 2022 _
3 usuall aaramber 31, Year)
/ J
Signed date
John 0. UWaf! (fact ily Operalar)
Swom to and subscribed before me Us 15
Nan^y H# so 4 (Notary Publio)
*Wasto generaled In other counIle5 Mil not be accoplad.
All waste must be 9onerhied in Johnston Caunly.
day of _ 7' k � Ro I
My Commission explres; L� - I - 3
Nate: FalsIlicalion of this documant by ilhe saplage monagument Firm
shall lead to permit rewocatlari.
(orri IAL SEAL)
NANO'r' 110U I< -
NOTARY PUBLIC
JOHNSTON COUNTY, N.C.
My Commisriorl Expires-1.1. ORS,

NC SEPTAGEMANAGEMENT FIRM
Recertification of Pumper Vehicle
eptage Firm Permit #: h1 - (-j 1 -1
Number of Pumper Vehicles: r-_ rN F,
CERTIFICATION:
"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the
submitted permit application meet the requirements for safe and sanitary
transportation of septage as required by15A N CAC 13 B .0844 �a) and vehicle
lettering as required by 15A N CAC 13 8.084 (b). I also certify that a log is
maintained of each septage pumping event as required by 1 A NCAC 13B _08 9
(a). I am aware that there are significant penalties for false certification including
the possibility of fine and imprisonment,"
'F
ignatu re -~ earrlp3f7}+ ahrcial requim4J)
Print Name
Date
] 1JA
Me
S:4SoiW-Wattalcla{saptagatibrmzWumpar Vehicles Caliiication.daoc