NCS00060_2023Permit_Initial

2023
Permit and Registration
B&B Septic
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00060
o and registered as a
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-�� Septage Management Firm�� �� 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. Lexington Regional WWTP, Lexington, 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.
Wrn Perry Digitally signed by
Wm Perry Sugg
Sugg Date: 2023.02.02
11:45:33-05'00'
Perry Sugg, Environmental 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*
B&B Septic
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00060
Enter the five digits following the NCS #
Street address of office*
Street Address
742 Ed Rickard Road
Address Line 2
City
State / Province / Region
Lexington
North Carolina
Postal / Zip Code
Country
27295
United States
County*
Davidson
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
336 752 2099
Email*
[e-mail]
Owner Info
Firm owner's name*
Benjamin Shoaf
Mailing address same as street address of office?*
• Yes No
Phone* Fax
336 300 4586
Operator Info
Firm operator's name* Firm operator's title
Benjamin Shoaf owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
336 300 4586
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 85,000
Portable Toilet Waste 2,000
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in:
Davidson
Vehicle 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
Date*
12/15/2022
Title*
Owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage YA119340 1HTSDZ7N2MH341820 2,250
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
0 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
Lexington Regional WWTP 12/31/2023 2022septage.... 391.82...
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*
8/18/2022 6
Location*
1700 Winkler Street Wilkesboro 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
12/15/2022
08:47:58 AM
Print Name* Title*
Benjamin Shoaf 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 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.
(Plant Operator In Responsible Charge (ORC), O License N
(Address)
o U.A. U1 VTP 919 3cro
Name of 1Plant) W,+ W 3
-+kcj �--
+� t
J � 2VO4 3 6 �1do hereby authorize � u
(Phone Number) (Owner perator of Septage Manage ent Firm)
of (� K, h R L JQP-tw) in 1 r'1-P-- NCS# COD 60
t (Septage Management Firm Name andSP S number)
to dispose of: domestic septage " portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage . from
` C� V-ia
(County or othaJ Geographic Ar )
at the above named wastewater treatment facility. Septage shall be discharged at:
(Location)
between the hours of oU any — .0 . C
Reintroducing partially treated liquid into a grease trap is acceptable Yes k/- No
This authorization shall be valid until _ f�� 3 1 4 2,0 2 3
(Usually December 31, Year)
T
Signed Date�—
(Facility Operator) }}
Subscribed and affirmed before me this day of l� W112f'i'1 k�L 20 6 r
�cx'► My Commission expires: ` t' a� c���
(Notary Public)
Jamie Freeman (OFF CIAL SEAL)
Notary Public
Davidson Coon , ND
Note: Falsification of this document by the septage management firm shall lead to permit revocation,
S:/Solid_Waste/CLA/SEPTAGE/FARMS/2018 Firm Applkation/WWTP Authorization Form 2018