NCS00007_2023Permit_Initial

2023
Permit and Registration
Myers Septic Tank Company
is hereby issued a Septage Management Firm Permit,
sTArE� _ Permit Number NCS-00007
oand registered as a
NORTH
A%L 12 t
-�� Septage Management Firm�� �� w� ��nffii�utr
4sr
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. Town Creek WWTP, Spencer NC
2. Septage Detention or Treatment Facility, SDTF-80-02
3. Septage Land Application Site, SLAS-80-01
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, 2023.
11 /21 /22
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*
Myers Septic Tank Company
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00007
Enter the five digits following the NCS #
Street address of office*
Street Address
1882 Briggs Rd
Address Line 2
City
State / Province / Region
Salisbury
NC
Postal / Zip Code
Country
28147
United States
County*
Rowan
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
7046333962
Email*
[e-mail]
Owner Info
Firm owner's name*
Garrett Bean/Seth Mills
Mailing address same as street address of office?*
• Yes No
Phone* Fax
7046333962
Operator Info
Firm operator's name* Firm operator's title
Garrett Bean/Seth Mills Owner/Operator
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
7046333962
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic
300,000
Portable Toilet Waste
32,000
Grease (Restaurant)
40,000
Treatment Plant
200,000
Industrial/Commercial 25,000
North Carolina counties of operation
List each county you plan to do business in:
Rowan, Cabarrus, Iredell
Vehicle Info
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
Date*
10/27/2022
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
YA164512
1FHCYFE3KHK64441
4,000
Domestic
Septage
YA60445
2FZHAZCG24AM85669
3,500
Grease (restaurant)
YA61606
1FVXTMDBlXHA55178
3,500
Portable
Toilet Waste
FB 5845
1HTMMAAL42H520259
1,100
Portable
Toilet Waste
JS8291
11-ITSCAAL311-1372095
1,100

Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
• 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*
Town Creek WWTP
Expiration Date* Authorization
12/31/2023 AUTHORIZATION 445.16...
TO DISCHARGE
SEPTAGE TO A
WASTEWATER
TREATMENT
FACILITY.pdf
Septage Land Application Sites (SLAS)
• Yes No
If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site.
SLAS # *
SLAS-80-01
Expiration Date*
12/31/2022
Authorization
Septage Detention or Treatment Facility (SDTF)
• Yes No
If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for
each site.
SDTF #*
SDTF-80-02
Other disposal method*
Yes • No
Expiration Date*
12/31/2022
Authorization
Septage Management Firm Operator Training Completed]
Date* Hours*
1/27/2022 6
Location*
Hickory, NC

Training Sponsored or Provided by*
NC Septic Tank Association
Septage Land Application Site Operator Training Completed^
Date Hours
1/27/2022 3
Location
Hickory, NC
Training Sponsored or Provided by
NC Septic Tank Association
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
Certif cation 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
10/27/2022
07:35:39 AM
Print Name*
Garrett Bean
Title*
[e-mail]

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.
Charles Wood of Town Creek WWTP
(Plant operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
850 Heiligtown Rd, East Spencer, NC 28039
(Address)
704-638-5377 do hereby authorize Garrett Bean / Seth Mills
(Phone Number) (owner/Operator of 5eptage Management Firm)
of Myers Septic Tank Company, Inc. _ _ NC5 # 00007
(5eptage Management Firm Name and NCS number)
to dispose of: domestic septage Yes , portabie toilet waste Yes
grease septage (grease trap pumpings) No commercial/industrial septage No from
ROWAN COUNTY ONLY
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Town Creek WWTP - Influent Installation
(Location)
between the hours of lam to 5pm Monday -Friday
Reintroducing partially treated liquid into a grea trap iS acc�epta�blep Yes X No
This authorization shall be valid until �ef o`* ) � � IZ
(Usually December 31, Year)
Signed Uj _(
(FaciIity—(5perator) i it f
a.rrri.a.:rauz
Date 10 -- q- a a
day of 20�
xpires: C
Note: Falsification of this document by the septage management firm shall lead to
5:/501jd_Waste/CLA/SEPTAGE/FORMSPot8 Firm App11cat1on/WWTP Authorlration Form 2018
fo.2: 0Ay
s t2
nik¢ voVion % �/" . ,
y♦�6''�.�A N GQ