NCS00054_2023Permit_Initial

2023
Permit and Registration
Autry's Backhoe / Septic
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00054
o and registered as aD E
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-�� Septage Management Firm �� f� w� ��nffii�utr
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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. McAlpine Creek WWTP, Charlotte, NC
2. Rocky River Regional WWTP, Concord, 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.
(,{%yyL 164 � 12/01 /2022
Perry Sugg, vironmen al 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*
AUTRY BACKHOE/SEPTIC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00054
Enter the five digits following the NCS #
Street address of office*
Street Address
1309 CULP ROAD
Address Line 2
City
State / Province / Region
PINEVILLE
NC
Postal / Zip Code
Country
28134
United States
County*
Mecklenburg
Mailing address same as street address of office?*
• Yes No
Phone* Fax
7045048830
Email*
[e-mail]
Owner Info
Firm owner's name*
STEVEN AUTRY
Mailing address same as street address of office?*
• Yes No
Phone* Fax
7047785862
Operator Info
Firm operator's name* Firm operator's title
STEVEN AUTRY
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
7045048830
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 650,500
Portable Toilet Waste 0
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
MECKLENBURG
UNION
GASTON
CABARRUS
YORK
LANCASTER
Vehicle Info If}
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*
11/9/2022
Title*
OWNER
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage*
License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage
NS-1811 2NKHLJ9X8NM84654 3,200
Domestic Septage
ND-7948 2NKHLJ9X1JM214370 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
MCALPINE CREEK 12/31/2022 CHARLOTTE 90.38KB
WATER AUTH
{2022).Jpeg
ROCKY RIVER 12/31/2022 WSACC 62KB
2022.pdf
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*
1/28/2022 6
Location*
Hickory Metro Convention Center 1960 13th Ave Dr SE Hickory, NC
Training Sponsored or Provided by*
NC Septic Tank Association
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
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
11/9/2022
08:38:40 AM
Print Name* Title*
STEVE AUTRY OWNER

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT
FACILITY
I, Bill Gintert / Environmental Compliance Manager
Charlotte Water - System Protection (CLTWater - SP)
4222 Westmont Drive Charlotte, NC 28217 704-336-4407
Do hereby authorize STEVE AUTRY
(Authorized Representative)
Of AUTRY BACKHOE/SEPTIC
(Septage Management Firm Name)
To dispose of Septage X Portable Toilet Waste X
Note: 1) Grease trap waste is not allowed at the disposal sites.
2) Re - introducing partially treated liquid into a grease trap is not allowed in the
Charlotte Water system.
From: Mecklenburg County and Surrounding Areas;
(County or other Geographic Area)
At the below named Wastewater Treatment Facility; Septage shall be discharged;
McAlpine Creek Wastewater Treatment Plant (MCWWTP) Septage Receiving Station
Between the hours of 7:30 a.m. until 11:00 a.m. and 12:00 p.m. until 3:45 p.m. Mon. -Fri.
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.
This authorization will be effective: January 1st 2023
This authorization shall be valid until: . December 31st 2023
Signed:
(Environmental Compliance Manager)
Date:
Note: Falsification of this document by the Septage management firm shall lead to permit revocation.

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, NC27699-1646
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, James Christian Sims #999309, Rocky River Regional Wastewater Treatment Plant
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
6400 Breezy Lane, Concord, North Carolina 28025
(Address)
704-788-4164 x114 do hereby authorize Steve Autry (704-504-8830)
(Phone Number) (Owner/Operator of Septage Management Firm)
of Autry Concrete Products NCS # 00054
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage YES , portable toilet waste YES
grease septage (grease trap pumpings) NO commercial/industrial septage NO from
Cabarrus and surrounding counties.
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
6400 Breezy Lane, Concord, NC 28025
(Location)
between the hours of 7AM and 7PM Monday -Saturday; Sunday upon request.
Reintroducing partially treated liquid into a grease trap is acceptable Yes d No
This authorization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed Date October 14 2022
James Christian Sims, Facility ORC
Subscribed and affirmed before methis
ob-(� &- C� -�Jw'
Angela Hill, Noliry Public
18th
day of October , 20 22
My Commission expires:
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018