NCS00038_2023Permit_Initial

2023
Permit and Registration
Ray's Septic Service
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00038
o and registered as a
e:,e D
NORTH
EQ�J
%L 12. 9*
-�� Septage Management Firm�� �� w� ��nffii�utr
E,%r Q'M
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. Scientific Water and Sewer WWTP, Jacksonville, NC
2. Septage Land Application Site, SLAS 67-11
3. Septage Detention or Treatment Facility, SDTF 67-11
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.
(&�/Q,� 7; 12/01/2022
Perry Sugg, En onmental 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*
Ray's Septic Service
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00038
Enter the five digits following the NCS #
Street address of office*
Street Address
1142 Gould Rd
Address Line 2
City
State / Province / Region
Jacksonville
North Carolina
Postal / Zip Code
Country
28540
United States
County*
Onslow
Mailing address same as street address of office?*
• Yes No
Phone* Fax
910-347-7867
Email*
[e-mail]
Owner Info
Firm owner's name*
Ray A Zamora, Sr
Mailing address same as street address of office?*
• Yes No
Phone* Fax
910-389-0972
Operator Info
Firm operator's name* Firm operator's title
Ray A Zamora, Sr Owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
910-389-0972
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic
2,500,000
Portable Toilet Waste
0
Grease (Restaurant)
500
Treatment Plant
0
Industrial/Commercial
0
North Carolina counties of operation
List each county you plan to do business in: *
Onslow, Jones, Duplin, Carteret
7Vehicle 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
lqa"/ , Lei
Date*
10/29/2022
Title*
26 October 22
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper
Vehicles
Usage*
License Tag #*
Vehicle Identification #*
Tank Capacity*
Domestic
Septage
YA149656
2xpldz9xo7m692181
4,000
Domestic
Septage
YA156324
1xpdgu9xxyd51659O
2,500
Domestic
Septage
YA31421
1htscaanixh590109
3,500
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
Scientific Water 12/31/2023
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 # * Expiration Date* Authorization
SLAS-67-11 12/31/2022
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 #* Expiration Date* Authorization
SDTF-67-11 9/29/2025
Other disposal method*
• Yes No
Description
WWtp
Authorization
Septage Management Firm Operator Training Completed
Date* Hours*
6/25/2022 4
Location*
New Bern, NC
Training Sponsored or Provided by*
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed

Date Hours
6/25/2022 3
Location
New Bern, NC
Training Sponsored or Provided by
NC Pumper Group & NC Portable Toilet Group
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
Miguel A Zamora
Ray A Zamora, Jr
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
10/29/2022
10:22:58 AM
Print Name* Title*
Ray A Zamora, Sr Owner

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 Cente
r, Raleigh, NC 27699--1646
Fee assessments and waste determinations will be required at the. discretion of the wastewater
treatmentfacility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incom1
ing wastewater stream's
—NOW
(Plant Operator in Respon
sible Charge (011C), ORC License Number, Name of Plant)
(Address)
� 3 Q -� � � do hereby authorize
(Phone Number)
of �S
0
(Owner/Opera or of Septage Management Firm)
(SJPtage Management Firm Name and NCS number)
to dispose of: domestic septage
portable toilet waste
grease septage (grease trap pumpings) commercial/indus
Cou
trial
NCS #
septage ,from
at the above named wastewater treatment facility. Septage shall be discharged at:
7
(Location)
between the hours of
Reintroducing part-0
ially treated Hquidi'nto a grease trap
This authorization -shall be valid unlu
Signed
(Facility oderator)
Notary Public
this
t
Note: Falsification of this document by
S:/Sol*dE/FORM
is acceptable
Yes
3l .1
Usually December ii, Year)
Date
day of
My Commission exp
No
heseptage management firm shall lead to permit revocation.
S/2018 Firm Application/WWTP Authorization Form 2018
mm d

Division of Waste Management To:
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Phone/Fax: [phone]
Email: [e-mail]
Septage - Annual:
Ray's Septic Service (NCS-00038)
1142 Gould Road
Jacksonville, NC 28540
Number of Trucks: 3
LATE FEES:
Payment Options:
INVOICE
Ray A Zamora Sr. Miguel Zamora
Ray's Septic Service
1142 Gould Road
Jacksonville, NC 28540
Date Due:
Date: 09/27/2022
Invoice #: NCS-00038-2023
$800-00
E-check Available online at
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]
Ex lanar,ion 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.
For,iuestions regarding_
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 -
North Carolina Septage Management Program -
P A
CK. NO. _ ff 11T _
DATE
,6 500, �o