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Home My WebLink AboutNCS00039_2023Permit_Initial2023 Permit and Registration Roanoke Porta Johns is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00039 oand registered as a e:,e D NORTH CAROLINA EQ�J -�� Septage Management Firm awnen� f� wrnmenta�lty 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, Tide 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. Roanoke River WWTP, Weldon, 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. Wm Perry Sugg Digitally signed by Wm Perry Sugg Date: 2023.02.01 16:04:38-05'00' Perry Sugg, Environmental Compliance Branch Head User Task https://wv2dnlsthapO2. eapps.ncads.net/Forms/form/aysubmission?Re... State of North Carolina Application for Permit to Operate a Environmental Quality Waste Management Se pta g e Management Firm 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* ROANOKE PORTA-JOHNS The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-00039 Please enter the complete NCS #, including the 5 end digits (NCS-X>O=) Street address of office* Street Address 1717 LEBENON CHURCH ROAD Address Line 2 City State / Province / Region GARYSBURG NORTH CAROLINA Postal / Zip Code Country 27831 UNITED STATES County* Northampton Mailing address same as street address of office?* Yes No Mailing Address* Street Address PO BOX 1123 Address Line 2 City State / Province / Region ROANOKE RAPIDS NORTH CAROLINA Postal / Zip Code Country 27870 United States 1 of 6 1/23/2023, 12:47 PM User Task https://wv2dnlsthapO2. eapps.ncads.net/Forms/form/aysubmission?Re... Phone * 252-537-2338 Email * roanokeporta,johns@centurylink.net Owner Info Fax Firm owner's name* EUGENE ST CLAIR Mailing address same as street address of office?* Yes No Mailing Address Street Address PO BOX 1123 Address Line 2 City State / Province / Region ROANOKE RAPIDS NORTH CAROLINA Postal / Zip Code Country 27870 U.S.A. Phone* Fax 252-537-2338 Operator Info Firm operator's name* Firm operator's title EUGENE ST CLAIR PRESIDENT Mailing address same as street address of office?* Yes No Mailing address* Street Address PO BOX 1123 Address Line 2 City State / Province / Region ROANOKE RAPIDS NORTH CAROLINA Postal / Zip Code Country 27870 U.S.A. 2 of 6 1/23/2023, 12:47 PM User Task https://wv2dnlsthap02. eapps.ncads.net/Forms/form/aysubmission?Re... Phone* Fax 252-537-2338 [Type and amount of septage pumped in the last 12 months Amount in gallons* D®mrnesttiie 0 Porttalblle T®fillett Waste 248,000 Grease (Restaurant)) 0 Treatment PlIamntt 0 II rrnd usltiriia II//C®mrn mrneireiia II 0 North Carolina counties of operation List each county you plan to do business in: * HALIFAX, NORTHAMPTON, WARREN, HERTFORD, BERTIE, EDGECOMB, WILSON, NASH, FRANKLIN, VANCE, GRANVILLE Vehicle Info Do you plan to operate pumper vehicles?* QQ 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 * 1/23/2023 3 of 6 1/23/2023, 12:47 PM User Task https://wv2dnlsthap02. eapps.ncads.net/Forms/form/aysubmission?Re... Title* President Choose how to add vehicle descriptions* Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Portable Toilet Waste CZ7759 1FDUF5GTXCEC149091 700 Portable Toilet Waste KB4480 3C7WRMLB7KG646717 700 Portable Toilet Waste JR4305 1HTBUMML9KH164909 1,000 Portable Toilet Waste JJ5440 1HTAMM6624378321 1,000 Portable Toilet Waste OUT OF 1HTSCABN34H244000 1,000 SERVICE Portable Toilet Waste BU23456 NC-5859-AY 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* Roanoke Rapids Sanitary District Septage Land Application Sites (SLAS) * Expiration Date* Authorization * 12/31 /2023 Wastwater d... 55.88... 4 of 6 1/23/2023, 12:47 PM User Task https://wv2dnlsthapO2. eapps.ncads.net/Forms/form/aysubmission?Re... Yes No Septage Detention or Treatment Facility (SDTF) * Yes No Other disposal method O Yes Co No Septage Management Firm Operator Training Completed Date * Hours* 2/19/2022 4 Location * RALEIGH, N.C. 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 O Registered Septage Management Firm O Registered Portable Sanitation and Septage Management Firm Comments and Notes Comments or notes Certif cation Statement 5 of 6 1/23/2023, 12:47 PM User Task https://wv2dnlsfhap02. eapps.ncads.net/Forms/form/aysubmission?Re... 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 se Ve ,7� 604 &- Date 9/27/2022 07:50:38 AM Print Name* EUGENE ST.CLAIR Title* PRESIDENT 6 of 6 1/23/2023, 12:47 PM 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 Rive r.Wastewater Treatment Plant (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 135 Aqueduct Rd, Weldon, NC 2890 252-536-4884 do hereby authorize (Phone Number) of Roanoke Porta Johns (Address) Eugene St.Clair (Owner/Operator of Septage Management Firm) (septage Management Firm Name and NCS number) to dispose of: domestic septage portable toilet waste x #r 00039 grease septage (grease trap pumpings) commercial/industrial septage , from Halifax, Warren, and Northampton Counties (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: 135 Aqueduct Rd, Weldon, NC 2890 (Location) between the hours of Elam - 5pm Reintroducing partially treated liquid into a grease trap is acceptable Yes i( No This authorization shall be valid until December 31, 2023 �n',i(Usually December 31, Year) Signed Date 9/28/2022 (Facility O erator Subscribed and affirmed before a this 28th day of September . 20 22 My Commission expires: 12/06/2022 "J�(Notary 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:/Solid_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WWTP Authorization Form 2017