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HomeMy WebLinkAboutNCS01595_2022Permit_Initial2022 Permit and Registration Absolute Septic is hereby issued a Septage Management Firm Permit, tszArr of Permit Number NCS-01595 0 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. Central Johnston County Regional Wastewater Treatment Plant 2. Neuse River Resource Recovery Facility, Raleigh 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. 11 d b W Digita y signe y m Perry Sugg Date: 2022.10.02 21:01:40-04'00' Perry Sugg, Environmental Compliance Branch Head APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM ,6L-i N? DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER RALEIGH NC 27699-1646 (1.) Firm name: (The "Firm name" must be exacU as it is shown on your vehicle(s)). Street address of office: / 5Y PoP/--, rf City: ���':' State: Ak Zip: 421J20 Mailing address (if different): City: State: Zip Phone: 919-649-6044 Fax: E-Mail:_ starichac@gmail.com County: JAOI! k-r1 Septage Management Firm permit number: NCS # NCS-01595 (2.) Firm owner's name: 6Ae ` �u..r,`L4 w Mailing address (if different): City: State: Zip Phone: 919-649-6044 Fax: (3.) Firm operator's name: 0 5��,'G�� Firm operator's title: Gc A7,f-� Mailing address (if different): City: Phone: lzf +f • 919-649-6644 JRs 10/21/2021 (4.) Type(s) of septage pumped: Write in the number of gallons pumped in last 12 months (Example: Domestic: 50,000). Domestic Portable Toilet Waste (5.) N.C. Counties of Operation: W64,- , JLkn �&7 Treatment Plant I Industrial/Commercial (List each county you are authorized to do business in) (6.) Total Number of Pumper Vehicles Operated: 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 At I UU 2 3 4 — 5 — — APPLICATION CONTINUED ON PAGE "F nl� PAGE 1 ��D3 CJG 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 .0844(a) and vehicle lettering as required by 15A NCAC .0844(b). Furthermore, I also certify that a 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? (N/) yes ( ) no Initial 6*75 Date — 1 `42d)- (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 .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: 11—Al _ ) ,l Location: Ig e % Hours: 1/1 Training Sponsored or Provided by: N6 )Z>d b%57, 14 n� (10.) Septage Land Application 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: 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 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 off companyofficial required) r,Paf /� 5/-,r"6 Z, Print Name Other Comments: /0 Date Title PAGE 2 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 401 Oberlin Rd., Ste. 150, Raleigh, N.C. 27605 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, John D. Wall Central Johnston County Regional Wastewater Treatment Plant (Plant Operator and Name of Plant) Post Office Box 2263, Smithfield, North Carolina 27577 (Address) 919 989-5075 do hereby authorize NCS# _01595 (Phone Number) (Oker/Operator ol Septage Management Firm) of Absolute Septic, 154 Poplar Drive Clayton, NC 27520 (Septage Management Firm Name and address) to dispose of: domestic septage X , portable toilet waste X Johnston County does not accept grease traps and pumpings. Johnston County, North Carolina _ (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Johnston County Sludge Handling Facility, 680 County Home Road, Smithfield, North Carolina (Location) between the hours of 8:00 A.M. thru 4:45 P.M. -Monday through Friday. Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until December 31 2022 I (Usually December 31, Year) Signed �-i C V Date John D. Wall (Facility Operator) Sworn to and subscribed before me this n day of 41KX�S'-- �� o { Nancy House (Notary Public) *Waste generated in other counties will not be accepted. All waste must be generated in Johnston County. My Commission expires: a 0 3 (OFFICIAL SEAL) Note: Falsification or this document by the septage management firm NANCY HOUSE shall lead to permit revocation. NOTARY PUBLIC } JOHNSTON COUNTY, N.C, My commission Expires 4-1.2023. 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. I, Nathan Howell; City of Raleigh / Neuse River Resource Recovery Facility(NRRRF) (Plant Operator and Name of Plant) 8500 Battle Bridge Road, Raleigh, NC 27610 (P. 0. Box 590, Raleigh, NC 27602) (Address) (919) 996-3700 do hereby authorize Cody Staricha (Phone Number) (Owner/Operator of Septage Management Firm) of Absolute Septic NCS01595 (Septage Management Firm Name and NCS number) to dispose of: domestic septage X , portable toilet waste grease septage (grease trap pumpings) N/A commercial/industrial septage N/A from Wake County (County or other Geographic Area) at the above -named wastewater treatment facility. Septage shall be discharged at: 8500 Battle Bridae Road. Raleiah. NC 27610 (Location) between the hours of 8am — 4pm Monday Thru Friday (Except Holidays Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid unl l_ December 31, 2022 Signed (Facility Operator) Sworn to and subscr'bed before me this (Notary Publi (Usually December 31, Year) Date It-), 3 day of_ybeCktY_Nber, 20<ZP—' My Commission expires: A- e� y �x ANGELA L YOUNG NOTARY PUBLIC Wake County North Carolina My CUn1n1i8slon Ex fires February 4, 2024 Note: Falsification of this document by the septage management firm shall lead to permit revocation. PAID FIRM NAME: Absolute Septic PERMIT #: NCS-01595 AMOUNT: $550 PAID BY: Check DATE: 11/23/2021 Adam Ulishney