NCS01544_2022Permit_Initial

2022
Permit and Registration
Turkey Quarter Campground and RV Park, LLC
is hereby issued a Septage Management Firm Permit,
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"� Permit Number NCS-01544
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t o and registered as a e:,e DE
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` a= Septage Management Firm Department ofEnvironmental Quality
44 QIIAM
NORTH CAROLINA (NON -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 only authorized to operate Septage Management Facilities listed below:
1. Septage Detention or Treatment Facility, SDTF-25-11
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. Also, this permit does not entitle the permit holder to operate a pumper vehicle for the transportation of Septage.
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 20:55:40
-04'00'
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR A PERMIT TO OPERATE A SEPTAGE MANAGEMENT FACILITY
(NON -PUMPER - 52Q0 FEE PER FACILITY)
QMSION OF WASTE MANAGEMENT - SOLID WASTE SECTION
1646 MAIL SERVICE CENTER, RALEIGH, NC 27699AW
(4.) �ecility name:
Stf�t address of office
Mailing address (if different)
Eounty J Dmj S 0yi
(2.) Facility owner's name �C��I� /5
Mailing address
t�hone; o
(3.) Feeility ®per4tor o name. t
Facility operators title l7 W 11 FG' J
Types) of sept»ge mana�Ad (check all that apply __
Domestic Portable Toilet Waste �' Grease (restaurant)
Treatment Plant Indystrial/Commercial
(�) Feoility Types: Cheek ail that are applicable and provide the permit numbers.
e)Septage land application site
b) Boat pump -out storage
c) Septage storage tanks Lee'
d) Septage trqptment
e) Grease troetment
(m Name and
(Z)
it Number of all permitted Septage Management Firms using faci
lity:
(Use additional sheets if necessary]
Q' nRII,Cw
Certification itatem�t
I certify th®t 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 p finding that its
issuance was based upon incorrect or inadequate information that mrielly isffected the decision to issue the permit
and at there are criminA pe hies for knowingly making a fills®F e R �ntahon, Qrrtiflt'pfl'
�iigl�A�tlre'
eill
DAM
IPrint NRIfilB
'�Ip�rtu�e erf scrmp±sAY c►ffiaiel r�ufreti•
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FIRM NAME: Turkey Quarter Campground and RV Park, LLC
PERMIT #: NCS-01544
AMOUNT: $200
PAID BY: E-Check
DATE:
Adam Ulishney