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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