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HomeMy WebLinkAboutNCS00049_2023Permit_Initial2023 Permit and Registration Garner Construction Co is hereby issued a Septage Management Firm Permit, STATE,, _ Permit Number NCS-00049 oand registered as a NORTH A%L 12. rim -�� Septage Management Firm�� �� w� ��nffii�utr 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, 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. Septage Land Application Sites, SLAS 16-02, SLAS 16-08 2. Septage Detention and Treatment Facility, SDTF 16-11 3. Johnnie Mosley Regional WRF, Kinston, 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: 2023.02.02 11:42:09-05'00' Perry Sugg, Environmental Compliance Branch Head APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION —1646 MAIL SERVICE CENTER, RALEIGH, NC 27699.1646 (1.) Firm name: (The "Finn name" must be ex� as it is shown on your vehicle(s)). Street address of office: -70 City: _ )t� t.�7Dd f - Y - _State: kX, Zip: D9,52D Mailing address (if different): City: State: Zip KS= County: _ J Ulf Septage Management Firm' permit number: NCS # C00+9 (2.) Firm owner's name: 1�Ibf' 1 ��- -tom-new[" �— -) . rifle AAA 6yl Mailing address (if different): _ City: State: Zip Phone: f ] Fax: fjorc1P (3.) Firm operator's name: IAA, rlP,% (10f ✓1E-f Firm operator's title: Z)M()K Mailing address (if different): Z. City: tz _ State: Zip: Phone: Fax: , 'C t (4.) Type(s) of septage pumped: Write in the number of gallons pumped in last 12 months (Example: Domestic: 50,000). Portable Toilet Waste Grease � r7 (5.) N.C. Counties of Operation: Treatment Plant Industrial/Commercial (List each county you are authorized to do business in) (6.) Total Number of Pumper Vehicles Operated: o� Number used for Domestic Septage: Other. Vehicle Information: (use additional paper if needed) Grease (restaurant): Portable Toilet Waste: License Tag # Vehicle Identification # Tank Capacity 1 �3qe�as 14-r, H (kDT019346 I qC0 140W 2 - Yg 1!5 \A LT cq_ 0 3wcr--) 3 4 5 APPLICATION CONTINUED ON PAGE 2 APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM (CONTINUED FROM PAGE 1) (7.) Do you plan to operate pumper vehicles? (check one) ( es ( ) no. If you checked yes above, you must attest to the following statement before a permit may be issued. "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 are significant penalties for false certification including the possibility of fine and imprisonment." Do you attest to the statement above? ( -jyes ( ) no Initial Date (8.) Septage Disposal Method: (check one) a) Approved wastewater treatment plant: ( ) yes (✓<no. If yes, submit Wastewater Treatment Authorization for each plant, as indicated in Subparagraph .0834(c)(14) of theSeptage Management Rules. b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets ifneeded) SLAS#:11o(7 QExpiration DateiolL� SLAS#: 11009 Expiration Date: Q0 S) p c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed) SDTF#: l to l \ Expiration Date, SDTF#:_ Expiration Date: (9.) Septage Managemew Firm Operator Training Complete Date: �. `! ? �- Location: r 1� - Hours: I - Training Sponsored or Provided by: t� ` t [ C t`-t2� � OAk (10.) Septage Land Application Site Operator Training Completed: Date: 1 l Wig, l'z'Z Location: ` ' c Hours: Training Sponsored or Provided by: &S Cb-1'� (11.) Registration type requested: CHECK ONE Registered Portable Sanitation Firm: Registered Septage Management Firm: ✓ Registered Portable Sanitation and Septage Management Firm: Certification 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. J'� - nQ /-1, �- Signature (Signs ofcompanyofcia/required) Print Name Other Comments: Date Rev. 04-26-2021 PAGE 2 12/6122, 8:56 AM IMG_0451.jpg https://mail.google.com/mail/u/0/9*tab=rm#inbox?projector-1 1217/22, 7:49 AM IMG_0452.jpg https:/lmail.google.com/maivulontab=rm#inboxlFMfcgzGrbRWgFKJpsdSXxWmtFWbkFDq?projector-1 &messagePartld=0.l 1 /1 AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE LAND APPLICATION SITE PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a land application site permit holder to indicate that permission has been given to a permitted Septage Management Firm to land apply septage on the permit holders land application site.) M (Site Operator) i0 1 A w�� `70 (Operator Address) do hereby authorize: (Owner of Septage Ma Rov"'il �' �� �1'�{l ,dT r1 (Name of Septage Management Firm) (Septage' Management Firm Add Firm) 70 NCS #��b n V' CJ G v to use septage disposal site # I for the disposal of W&op gallons of septage* in 203ZL Date: '� 1Z�� Signed 2�1 -a,, (Site Operator) * As defined in G.S. 130-A-290(a)(32). The site will be operated in accordance with 15A NCAC 13B .0800 - Septage Management Rules Return the properly completed form to: North Carolina Department of Environmental Quality Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE LAND APPLICATION SITE PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a land application site permit holder to indicate that permission has been given to a permitted Septage Management Firm to land apply septage on the permit holders land application site.) h2 do hereby authorize: (Site Operator) Lj:�)o (Oper6tor Address) (Owner of Septage Management NCS #(7 (Name of Septage Management Firm) S-1V (Septage Management Firm Address) to use septage disposal site # I I oQS for the disposal of JQ lions of septage* in 20_2�1-- i Date: _�Z 1 ZSigned (Site Operator) r% * As defined in G.S. 130-A-290(a)(32). The site will be operated in accordance with 15A NCAC 13B .0800 - Septage Management Rules Return the properly completed form to: North Carolina Department of Environmental Quality Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 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, Kenneth R. Stevens. Jr.- Wastewater License #21198 Johnnie Mosley Regional Water Reclamation Facilily (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) P. 0 Drawer 339 Kinston NC 28502 (Address) 252-939-3375 do hereby authorize Walton Keith Garner (Phone Number) (Owner/Operator of Septage Management Firm) of Garner Construction Co. Inc. NCS # 00049 (Septage Management Firm Name and NCS number) to dispose of: domestic septage X , portable toilet waste grease septage (grease trap pumpings) commercial/industrial septage , from Lenoir and surrounding counties (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Johnnie Mosley Regional Water Reclamation Facility- 2101 Becton Farm Road Briery Run Lift Station- Highway 55 East (Location) between the hours of 8:00 a.m. to 4:00 p.m. (Mondav thru Friday) Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authoriz hall be valid until December 31. 2023 Signed 2�'� (Facility Operato Date Sworn to and subscribed before me this day of _ My Commission expires: (Notary Public) Note: Falsification of this document by the septage management firm shall lead to permit /L/e)J . 20 2 2— S:/Solid_Waste/CLA/SEPTAGE/FORMS/2013 Firm Application/WWTP Authorization Form 2018 N0Tq. 4gFFICIAL SEXII 0,� GAL �G NC SEPTAGE MANAGEMENT FIRM Decertification of Pumper Vehicle(s) Septage Firm Permit #: NCS- Number of Pumper Vehicles: a _ CERTIFICATION: " I certify, under penalty of law, that the pumper vehicle or vehicles listed in the submitted permit application meet the requirements for safe and sanitary transportation of septage as required by15A NCAC 13B .0844 (a) and vehicle lettering as required by 15A NCAC 13B .0844 (b). I also certify that a log is maintained of each septage pumping event as required by 15A NCAC 13B .0839 (a). I am aware that there are significant penalties for false certification including the possibility of fine and imprisonment." I. 9Q J11 A-- is-_� r-- 2c�' Signature (Signature o 'company official required) Date 1,j. C-, ,Cmc st, s� e Print Name Title S:15olid Wastelcialseptagelforms%Pumper Vehicles Cetification.doc Amik North Carolina Department of Environmental Quality * Division of Waste Management INVOICE NORTH CAROLINA Env&muwrtar Quaft Solid Waste Section Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 Phone/Fax: (919) 707-8298 Email: jared.wilson@ncdenr.gov Septage - Annual: Garner Construction Co (NCS-00049) To: Morgan Garner Keith Garner Garner Construction Co 5970 Highway 70 Newport, NC 28570 PAID CK No. 33 Qa2 DATE Z "/p" 2-1 r900, oa Date: 09/27/2022 Invoice #: NCS-00049-2023 5970 Highway 70 $800.00 Newport, NC 28570 Number of Trucks: 2 Date Due: 1211512022 LATE FEES: -cordance with NC General Statutes GS 130A-291.1(e2), a late fee will be applied to any annual permit fees not submitted by January 1, 2023. Payment Options: E-check Available online at https://deQ-nc. oq v/swpay 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 https://deo.nc.gov/sway 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. For questions regarding: Billing Regulations or Technical Assistance Jared Wilson (919) 707-8298 Chester Cobb (919) 707-8283 Jeffrey Bullard (919) 707-8285 More information available on the web: North Carolina Department of Environmental Quality (DEQ) - nttps:Hdeq.nc.Q_ North Carolina Solid Waste Program - hn about'divisions/waste-manarceme nvsolid-waste-section North Carolina Septage Management Program - htts,s//deq.nc.;tovlabou ldivisions/waste-mana•jemen;:isol id-waste-sectiorVsoecial-wastes-and-alternative handling/septage