NCS01585_2022Permit_Initial

2022
Permit and Registration
Blue Ridge Septic
is hereby issued a Septage Management Firm Permit,
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Permit Number NCS-1585
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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. Catawba Water Pollution Control Facility, Morganton, 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.
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Digitally signed by
Wm Perry Sugg
Date: 2022.10.02
20:59:27-04'00'
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*
Blue Ridge Septic Service
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01585
Enter the five digits following the NCS #
Street address of office*
Street Address
4443 Georgia Pines Road
Address Line 2
City
State / Province / Region
Morganton
NC
Postal / Zip Code
Country
28655
United States
County*
Burke
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
8284438088
Email*
[e-mail]
Owner Info
Firm owner's name*
Wayne Deal II
Mailing address same as street address of office?*
• Yes No
Phone* Fax
8284438088
Operator Info
Firm operator's name* Firm operator's title
Wayne Deal II owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
8284438088
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 32,000
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, McDowell
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
k,J1J4,0 , ,;31 //
Date*
12/9/2021
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 YA161024 1HTSDZ3N8LH224604 2,000
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
Catawba Water Pollution Control 3/4/2023 dischargesep... 2.83MB
Facility
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*
7/21/2021 8
Location*
ONLINE-NCDWM-NEW OPERATOR TRAINING FOR CONTINUING ED
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
12/9/2021
07:59:39 PM
Print Name*
Wayne Deal II
Title*
owner/operator

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.
lElisha Self, 10021871 Catawba Water Pollution Control Facility
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
1000 Vine Arden Rd / P O Box 3448 Morganton, NC 28655
(Address)
828-438-5285 do hereby authorize Wayne Deal —
(Phone Number) (Owner/Operator of Septage Management Firm)
of Blue Ridge Septic &Grading NCS # 01585
(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
Burke County
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Catawba River Water Pollution Facility
(Location)
between the hours of 7:00 AM ----- 7:00 PM
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until
Signed
(Facilii�y Operator)
December 31 st. 2022
(Usually December 31, Year)
Date I I - n off- �D 1
Subscribed and affirmed before me this
A�
Q
My Commission expires: � �
(Notary Public)
Note: Falsification of this document by the septage management firm shall lead to
S:/Solid_Waste/CLA/SEPTAGEjFORMS/2018 Firm Application/WWTP Authorization Form 2018
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PAID
FIRM NAME: Blue Ridge Septic
PERMIT #: NCS-01585
AMOUNT: $550
PAID BY: E-Check
DATE: 11/29/2021
Adam Ulishney