NCS00025_2023Permit_Initial

2023
Permit and Registration
Master Porta- Jon Service
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00025
o and registered as a
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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. City of Lenoir WWTP, Lenoir, 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.
Gf% 12/12/2022
da
Perry Sugg, Envkonmental 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*
Master Porta Jon Services
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00025
Enter the five digits following the NCS #
Street address of office*
Street Address
729 Harrisburg Drive
Address Line 2
City
State / Province / Region
Lenoir
NC
Postal / Zip Code
Country
28645
US
County*
Caldwell
Mailing address same as street address of office?*
Yes • No
Mailing Address*
Street Address
PO Box 2309
Address Line 2
City
State / Province / Region
Lenoir
NC
Postal / Zip Code
Country
28645
United States
Phone* Fax
8287541074
Email*
[e-mail]
Owner Info
Firm owner's name*
Jeremy Kanagy / John Ballew
Mailing address same as street address of office?*
Yes 0 No

Mailing Address*
Street Address
PO Box 2309
Address Line 2
City
State / Province / Region
Lenoir
NC
Postal / Zip Code
Country
28645
us
Phone* Fax
8287541074
Operator Info
Firm operator's name*
Jeremy Kanagy / John Ballew
Mailing address same as street address of office?*
Yes • No
Mailing address*
Street Address
PO Box 2309
Address Line 2
City
Lenoir
Postal / Zip Code
28645
Firm operator's title
Owner / Operator
State / Province / Region
NC
Country
us
Phone* Fax
8287541074
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 0
Portable Toilet Waste 120,000
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Caldwell
Catawba
Burke
Alexander
Wilkes
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*
11/10/2022
Title*
11/10/2022
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage*
License Tag #*
Vehicle Identification #*
Tank Capacity*
Portable
Toilet
Waste
JT-5603
1GBE5C1G76F421406
290
Portable
Toilet
Waste
KR-9089
1GBE5C1959F405033
650
Portable
Toilet
Waste
NZ-5782
1HTSCAAM9TH385431
1,000
Portable
Toilet
Waste
NZ-5873
1GCJK33234F216294
400
Portable
Toilet
Waste
NZ-5781
JALC4W16987000832
550
Portable
Toilet
Waste
NZ-5700
1GDK7C1C77F414393
1,200
Portable
Toilet
Waste
JB-7289
4KLB4B1U77J800230
550
Portable
Toilet
Waste
NR-7710
2FZAAHCS42AJ77058
1,100
Portable
Toilet
Waste
FR-3740
1GDJ6H1J1SJ523531
650
Portable
Toilet
Waste
KZ-6324
JALC4W16987000832
900
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
Lower Creek WWTP 11/8/2023
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*
8/13/2022 4
Location*
Morganton NC
Training Sponsored or Provided by*
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
Date Hours
0
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
Jeremy Kanagy and John Ballew
Will scan in permit app to Chester Cobb also. He had to help us last year.
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
C'r�'nevy r�e*�xa�/tD�w4r' .sar,

Date
11/10/2022
10:31:04 AM
Print Name*
Jeremy Kanagy
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.
I, Donnie R Hawkins ORC WWTP Operator 4 (987625) City of Lenoir - Lower Creek WWTP (NC0023981)
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
1905 Broadland Road Lenoir NC 28645 (P.O. Box 958 Lenoir NC 28645)
(Address)
[phone] do hereby authorize
(Phone Number)
(Owner/Operator of Septage Management Firm)
of Master Porta-Jon Service Inc NCS #00025
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X , portable toilet waste X ,
grease septage (grease trap pumpings) commercial/industrial Septage , from
Burke Caldwell Catawba Alexander and Wilkes
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Septage Receiving Station _ Lower Creek WWTP
(Location)
between the hours of 7.00 a.m. until 7.00 p.m., Monday through Saturday
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 Date l ` �—
` (Facil ty Operator)
Subscribed and affirmed before me this
r� i28„% e,�-1• C�i�u rd-
(Notary Public)
I O+L
day of HOVE► b y 20 ZZ
My Commission expires: U 12 (j 0ZF!:,
11118
Note: Falsification of this document by the septage management firm shall lead to permit revocation
S:/Solid Waste/CLA/SEPTAGE/FORMS/2016 Firm ApplicationM/WTP Authorization Form 2016
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North Carolina Department of Environmental Quality
Division of Waste Management
NOR I H, CARO,� A I NVOICE
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al1w Solid Waste Section
it
Division of Waste Management R. To: John Ballew Jeremy Kanagy
Solid Waste Section Master Porta- Jon Service
1646 Mail Service Center PO Box 2309
Raleigh, NC 27699-1646 en ir, NC 28645
Phone/Fax: [phone]
Email: [e-mail] PAI
CK NO 18/1
DATE I V, 5/tio soa. 00 Date: 09/27/2022
jlr
Invoice #: NCS-00025-2023
Septage - Annual:
rdlas_er Porta- Jon Service (NCS-00025)
PO Box 2309 $800.00
Lenoir, NC 28645
—Number of Trucks: 7
Date Due.- 12/15/2022
LATE FEEES: In ai:,..- m�Tjrcey;& Nc 0 S-.
ee uJif te aooiied to )ua-
pe, nit, fees not subirrI i7.),.January I,
Payment Options:
E-check Available online at 12m, "doo ­14
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. 'If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card Available online at
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number shown
on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
[*Convenience Fee of 2.65% added to amount invoiced.]
Paper check Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number on
check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy of this
invoice with your payment.
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Explanation of Invoice Amount is Based on Firm's Current Permit Status:
Pursuant to North Carolina General Statute 130A-291.1 you are required to pay fee(s) based on your solid waste management
activities. The fee(s) shall be used to support the septage management program.
Forcuestions rec.arding:
Billing
Regulations or Technical Assistance
Jared Wilson [phone]
Chester Cobb [phone]
Jeffrey Bullard [phone]
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) -
North Carolina Solid Waste Program - t/cliv 1_`)S,,/%,y'j.' m., -wa
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North Carolina Seot.ge Management Program - h tI g, _j hyy Sr_-n. _wq F,,! �oljcj-w St -s tic.) - aztes- i
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