NCS01592_2022Permit_Initial

2022
Permit and Registration
Speedy Septic Service Corp.
is hereby issued a Septage Management Firm Permit,
tszArr of
Permit Number NCS-01592
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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. French Broad River WRF, Asheville, 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
21:01:08-04'00'
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC 27699.1646
0.) Firm name: (The "Firm name" must be exactly as it is shown on your vehicle(s)).
.L c,1.c,L— Ca'J,
Street address of office: 3 y� �d !r 4<rI. _ j2j
City: krr.mc. State: ii . c Zip: Z$ c
Mailing address (if different):
City:
State: Zip
Phone: S 1 � - 1 7 T- 1 8aI Fax:
E-Mail:_ D,, A o E-mr , 6 W 7C I. 4 e•�
County:_ J,Septage Management Firm permit number: NCS #
(2.) Firm owners name:_ AJ.,4L, 61C,�N
Mailing address (if different): 319 yid ie c ltil ,el
City: /45L%U,11L State: A,16 Zip ZgyeY
Phone: ,t - 777 r (Y� 1
(3.) Firm operators name: a ..,+.., W4 i1_ Firm operator's title: c.;� oLa j s=
Mailing address (if different): 3c 6 u 2-
City: — $,.I State nr L zip. 1,671 S
Phone: 'FAS - -7I$ - SYof Fax:
(4.) Type(s) of septage pumped: Write in thg n m er of gallons jaumned in lag42 months (Example: Domestic: 50,000).
� Domestic I Portable Toilet Waste Grease (Restaurant) Treatment Plant ndustriaYCommerc#al
(5.) KC. Counties of Operation: 13,,,, ,: 1.. ;•) t ,
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: 0
Number used for: Domestic Septage: Grease (restaurant):
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
License Tag #
Vehicle Identification: #
Tank Capacity
1
t=SoL. h''d�'i3
I o�C c,s
2
3
4
5
APPLICATION CONTINUED ON PAGE 2
PAGE 1
f-'
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� i ov

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) (✓f 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 .0844(a) and vehicle lettering
as required by 15A NCAC .0844(b). Furthermore, I also certify that log is maintained of each septage pumping event as
required by 15A NCAC 13B .0839(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? ( yes ( ) no Initial V Date i / of / 20 x1
(S.) 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 .0833(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: Y/ 4 i x i Location: ©o l Hours:
Training Sponsored or Provided by: J z� f Ala 9�j j�d
00.) Septage Land App!icaticn Site Operator Training Completed:
Date: Location:
Training Sponsored or Provided by:
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm: V
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours;
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 permfi 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 joinpanyofficial required)
Print Name
Other Comments:
Hl1x�t�al
Date
QVn Ir �KVC� 'f",
Title
PAGE
Rev, 10.27-2020

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, N.C. 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.
l Roger Edwards,9926, French Broad River Water Reclamation Facility (MSD of Buncombe County. NC)
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
2028 Riverside Drive; Asheville, North Carolina 28804
(Address)
[phone] do hereby authorize Andrew Green
(Phone Number)
(Owner/Operator of Septage Management Firm)
of Speedy Septic Services Corp
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage Yes portable toilet waste No
N CS#
01592
grease septage (grease trap pumpings) No commercial/industrial septage No from
Buncombe, Haywood, Henderson, Madison, McDowell, Mitchell, Polk, Rutherford, Transylvania & Yancey Co.
(County or other Geographic Area)
at the above -named wastewater treatment facility. Septage shall be discharged at:
MSD's Septage Receiving Station at 2110 Riverside Drive; Asheville, North Carolina 28804
(Location)
Between the hours of 24 hours a day / 7 days per week
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)
Signed Date ZIZOL
(Facility Operator)
Subscribed and affirmed before me this
R . nay
(Notary Public)
}g�
day of N-w"er 20 al
My Commission expires: C_ �
(OFFICIAL SEAL)
Note: Falsification of this document by the Septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2015 Firm Application/WWTP Authorization Form 2015

PAID
FIRM NAME: Speedy Septic Service Corp.
PERMIT #: NCS-01592
AMOUNT: $550
PAID BY: E-Check
DATE: 12/28/2021
Adam Ulishney