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HomeMy WebLinkAboutNCS01562_2022Permit_Initial2022 Permit and Registration 7 Kids Septic is hereby issued a Septage Management Firm Permit, tszArr of Permit Number NCS-01562 o and registered as a e:-e D E A Q ` 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. Old Brookford Plant WWTP, City of Hickory, 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 20:57:14-04'00' 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* 7 Kids Septic The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01562 Enter the five digits following the NCS # Street address of office* Street Address 2388 Liberty Church Street Address Line 2 City State / Province / Region Hickory NORTH CAROLINA Postal / Zip Code Country 28601 United States County* Burke Mailing address same as street address of office?* • Yes No Phone* Fax 8283082295 Email* 7kidsseptic@gmail.com Owner Info Firm owner's name* Henry Edwards Mailing address same as street address of office?* • Yes No Phone* Fax 8283082295 Operator Info Firm operator's name* Firm operator's title Henry Edwards Mailing address same as street address of office?* 0 Yes No Phone* Fax 8283082295 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 96,000 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: * burke catawba Caldwell alexander iredell gaston lincoln Cleveland 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 s� &.ram Date* 12/20/2021 Title* owner Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage KF9486 1GDG6H1PXPJ502599 1,500 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 Old Brookford Plant 12/31/2022 dump 1.jpg 1.46MB 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* 1/12/2021 8 Location* home conference call Training Sponsored or Provided by* NC DEQ - New Operator Training 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 12/20/2021 08:26:17 PM Print Name* Title* Henry Edwards owner T'� � s� � �_ �« - ,:r.. � _ .. Q� - -pr � - � _ _ .. J� - 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. I• Shawn Pennell �'it� of Hicko Rd. Hick (Plant Operator and Name of Plant) 28602 (Address) 828-323-7427 do hereby authorize _ Henry Edwards (Phone Number) (Owner/Operator of Septage Management Firm) of 7 Kids Septic NCS # 01562 (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 Catawba, Lincoln and Burke (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Old Brookford Plant (Location) between the hours of 7:OOam and 7:OOpm 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) �J ' � �� Signed / `'� �'' Date � r Sworn to and subscribed before me this day of l�Ce.�� ��P� , 20 � l �)'Yy� ��� �C�`� � �"�l U-�`L'�-= My Commission expires: 5� � �t • � ��� (No a,� Public) I ��tttltlll/���//, \�l�b ���1/S+� ire O�ARiV s Note: Falsification of this document by the septage management firm shall lead to permit revocation ;� � U � ��: � J�`�. r� A� ✓�`,�Y��3d � 69GO�a'` o. PAID FIRM NAME: 7 kids septic PERMIT #: NCS-01562 AMOUNT: $550 PAID BY: E-Card DATE: 12/28/2021 Adam Ulishney