NCS01586_2022Permit_Initial

2022
Permit and Registration
Double Deuce Septic Service, LLC
is hereby issued a Septage Management Firm Permit,
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Permit Number NCS-01586
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o and registered as a e:,e DE
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` a= Septage Management Firm Department ofEnvironmental Quality
44 QIIAM
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. North and South Durham WTF, Durham, 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
21:00:03-04'00'
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM ` le_c l f vm
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DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION —1646 MAIL SERVICE -CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The "Finn name" must be exactly as it is shown on your vehicle(s)).
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Street address of office: —/r d �✓ ,
City: /tw State: /Cf&. Zip: —
Mailing address (if different):
City: State: Zip
E-Mail: a 1✓to�.'� a /
County: d! -5 Septage Management Firm permit number: NCS #
(2.) Firm owners name: [,,, ,g l w
Mailing address (if different):
City:
State: Zip
Phone.-_9C 495f 2 63G Fax:
(3.) Firm operator's name: 4� / (./1. (d Firm operators title: gi r ✓
Mailing address (if different):
City: _ State: Zip:
Phone:
Fax:
(4.) Type(s) of septage pumped: Write in the number oiyalt_ns pumped in last 12 month (Example: Domestic: 50,000).
(5.) N.C. Counties of Operation:
each county you are authorized too business in
(6.) Total Number of Pumper Vehicles Operated:
Number used for. Domestic Septage: / f Grease (restaurant):
Other._ _ Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
APPLICATION CONTINUED ON PAGE 2
PAGE 1
31
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E

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.,) Do you plan to operate pumper vehicles? (check one) ( yes ( ) no.
If you checked yes above, you must attest to the following statement before a permit may be issued.
"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 .0838(a). I am aware that there are significant penalties for false certification including the
possibility of fine and imprisonment."
Do you attest to the statement above? (t/jyes ( ) no Initial&c,- _Date G 7 2
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: (yes ( ) no. If yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0834(c)(14) of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#: Expiration Date: SLAS#: Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#. _Expiration Date:_ _ SDTF#: __Expiration Date: __
(9.) Septage Management Firm Operator Training Completed:
Date:. —1 i Location: CM (_ Hours:_
Training Sponsor Provided by: On
(10.) Septage Land Application Site Operator Training Completed:
Date: _ Location: Hours:
Training Sponsored or Provided by:
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm:_
Registered Portable Sanitation and Septage Management Firm:
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 (Signature of companyoflTcial ►equirea)
Print Name
Other Comments:
-�L? Z / ?-07
Date
0 FYI
Title
PAGE
Rev.04-26-2021

uTfjI_"
Department of Water Management
AUTHORIZATION TO DISCHARGE
Double Deuce Seatic Service
hereby is granted permission to discharge domestic septage waste into City of Durham's
North and South Water Reclamation Facilities. This discharge shall be between the hours
of 7:30 am. and 4:00 p.m., five days a week. Permission to discharge is restricted to
waste collected in the state of North Carolina. The maximum discharge volume of each
load is 1600 gallons.
Double Deuce Septic Service shall comply with all provisions of City of Durham's
Sewer Use Ordinance. If any provision of the City's Sewer Use Ordinance is violated,
this authorization may be terminated.
Fee assessment and waste determination may be required at the discretion of the City of
Durham, Department of Water Management.
This authorization shall be valid from January 1, 2022 until December 31, 2022.
iz G zl
John Dodson —Date
North Durham Water Reclamation Facility
1900 East Club Boulevard
Durham, North Carolina 27704
Charlie Cocker - Date
South Durham Water Reclamation Facility
6605 Farrington Road
Chapel Hill, North Carolina 27517

PAID
FIRM NAME: Double Deuce Septic Service LLC
PERMIT #: NCS-01586
AMOUNT: $550
PAID BY: Check
DATE: 1/7/2022
Adam Ulishney