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
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-�� 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
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1217/22, 7:49 AM
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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
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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