HomeMy WebLinkAboutNCS00009_2023Permit_Initial2023
Permit and Registration
Bryant & Lassiter Septic Tank Service, Inc.
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-00009
o and registered as aD E
-�� 12 Septage Management Firm ��en� f� w� nmental Ouallty
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 of Ahoskie WWTP, Ahoskie, NC
2. Roanoke River WWTP, Weldon, NC
3. Warren County WWTP, Warrenton, NC
4. Woodland WWTP, Woodland, 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, 2023.
6&4-r, , � 12/12/2022
Perry Sugg, En ' nment ompliance 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*
Bryant & Lassiter Septic Tank Service, Inc.
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00009
Enter the five digits following the NCS #
Street address of office*
Street Address
3047 NC 35 Hwy
Address Line 2
City
State / Province / Region
Woodland
NC
Postal / Zip Code
Country
27897
United States
County*
Northampton
Mailing address same as street address of office?*
Yes • No
Mailing Address*
Street Address
PO Box 157
Address Line 2
City
State / Province / Region
Potecasi
NC
Postal / Zip Code
Country
27867
United States
Phone* Fax
252-587-4321
Email*
info@blseptic.net
Owner Info
Firm owner's name*
David and Felicia Cooper
Mailing address same as street address of office?*
• Yes No
Phone* Fax
252-587-4321
Operator Info ^�
Firm operator's name* Firm operator's title
David Cooper
Mailing address same as street address of office?*
• Yes No
Phone* Fax
252-587-4321
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 849,000
Portable Toilet Waste 280
Grease (Restaurant) 82,700
Treatment Plant 0
Industrial/Commercial 229,800
North Carolina counties of operation
List each county you plan to do business in: *
Northampton, Hertford, Bertie, Gates, Halifax
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
m4c �a
Date*
12/5/2022
Title*
President
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic
Septage
NE-4669
1HTMMAAN18H552533
2,400
Domestic
Septage
NE-4670
1HTMMAAN22H542925
2,500
Domestic
Septage
NE-4671
1HTMMAAN07H357327
2,500
Domestic
Septage
NE-4672
1HTMMAAN67H443449
2,500
Domestic
Septage
NH-8860
1HTMKAZN27H402827
2,500
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*
Expiration Date*
Authorization
Town of Ahoskie
12/31/2023
Ahoskie
269.51...
WWTP.pdf
Warren County WWTP
12/31/2023
Warren County
260.02...
WWTP.pdf
Town of Woodland
12/31/2023
Woodland
268.87...
WWTP.pdf
Roanoke River WWTP
12/31/2023
Roanoke River
223.56...
WWTP.pdf
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*
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
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
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
PMV
Date
12/5/2022
03:35:11 PM
Print Name* Title*
David Cooper President
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.
1, ,�C3►�� �� � 1C� and \ ")%n C>C
(Plant Operator -In'-'Responsible Charge (ORC), ORC License Number, Name of Plant)
(Address)
6�4A _do hereby authorize
(Phone Number) (Owner/Operator of Septage Management Firm)
'B of r an �� Lcr �► er ���ctI
N CS #
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage
p p g ,portable toilet waste
grease septage (grease trap pumpings) Nt\ commercial/industrial septage `� , from
'�er�► e, `�Er��pt'C� �C���S �`n�vJCin �io�-'�lnm ��-� ��r u,rnnn�
(County or other Geographic Area) `°NnIn 6
at the above named wastewater treatment facility. Septage shall be discharged at:
(Location)
between the hours of j.00C1vl-t m 'MOf) Lkt't — �3Ci�rUrC�1Ct��
Reintroducing partially treated liquid into a grease trap is acceptable Yes �� No
This authorization shall be valid until ► cce n`lbc-Y'
q (Usually December 31, Year)
Signed 6 Date61
(Facility operator)
r
Subscribed and affirmed before me this day of `f 20�
My Commission expires: � {
(Notary Public)
(o*0i h-IPALT.
MY
COMMISSION EXPIRES
Note: Falsification of this document by the septage management firm shall lead to P4" l
5:/Solid waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018 f�44i. vo al
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.
Roanoke River Wastewater Treatment Plant
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
135 Aqueduct Rd, Weldon, NC 2890
{Address]
252-536-4884 do hereby authorize David Cooper
{Phone Number) (Owner/Operator of Septage Management Firm)
of Bryant and Lassiter Septic Tank Service NCS # 00009
(5eptage Management Firm Name and NCS number)
to dispose of: domestic septage x portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage from
Halifax, Ber0e,Hertford, and Northampton Counties
(County or other Geographic Area)
at the above named wastewater treatment facility. 5eptage shall be discharged at:
135 Aqueduct Rd, Weldon, NC 2890
(Location)
between the hours of Sam - 6pm
Reintroducing partially treated liquid into a grease trap is acceptable Yes x No
This authorization shall be valid until December 31, 2023
l Usually December 31, Year)
Signed /L"4 Date 9/28/2022
(Ft ility Operator)
Subscribed and affiarmed before me this 28th day of September 20 22
_ f II " My Commission expires: 7.2/06/2022
( tary Public)
BRITTNEY MOSELEY (OFFICIAL SEAL)
NOTARY PUBLIC
HALIFAX COUNTY, NC
Note: Falsification of this document by the septage management firm shall lead to permit revocation,
S!/Solld_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WWTP Authorization Form 2017
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, 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, William R. Perkinson ORC License Number 987831
(Plant Operator in Responsible Charge (ORC) and ORC License Number)
Warren Coun WWTP 738 US HM 401 S. PO BOX 281 Warrenton IBC 27589
(Address)
252-257-1776 do hereby authorize David Cooper
(Phone Number) (Owner/Operator of Septage Management Firm)
of B ant & Lassiter Septic Tank Service NCS #00009
(Septage Management Firm Name and NOS number)
to dispose of: domestic septage X portable toilet waste X
grease septage (grease trap pumpings) commerciallindustrial septage from
Warren Vance Granville and surrounding counties
(County or other Geographic Area)
at the above -named wastewater treatment facility. Septage shall be discharged at:
Influent works
(Location)
between the hours of 8:00 AM - 3:30 PM Monday - Friday
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until _ December 31, 2023
(Usually December 31, Year)
Signed &;�C, Date_ �%����—
(Facility Operator)
Sworn to and subscribed before me this � � T~ day of TA ir 20 0,)-
M'" OLd i Ll..tl 11'� My Commission expires: 14 -q - � o,�G
(Notary Public)
11111////
IAL/���i
"'W
2
Note: Falsification of this document by the septage management firm shall lead to permit revoca'>�ia �pTA�gL m
S:1Solid_Waste/CLA/SEPTAGE/FORMS/2013 Firm AppiicaiionlWWTP Authorization Form 201E 4 ' UB09 c_),:
f'�'-' /V C 0\34,.ta
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.
(Plant Operator in Responsible Charge (ORC), CIRC License Number, Name of Plant)
Lp, -nLr2-X 29:)C
(Address)
.752-1297) -716l do hereby authorize Laulj 690per
(Phone Number) (Owner/Operator of Septage Management Firm)
of
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage ✓ , portably: toilet waste J11- ,
NCS t#
grease Septage (grease trap pumpings) il/!� commercial/industrial septage v' , from
Y T
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at-.
(Location)
between the hours of %elm j pr-h
Reintroducing partially treated liquid into a grease trap is acceptable Yes t' No
This authorization shall be valid until Dt
(usuaily December 31, Year)
Signed Date /p -z 2 ='
(Facility perator)
Subscribed and affirmed before me this day of / 20
My Commission expires: 2!0
(Notary Public) _a _,_01A)
Note: Falsification of this document by the septage management firm shall lead to permit
S./Solid_waste/CLA/SEPTAGE/FORMS/2018 Firm Application/wWTP Authorization form 2018