NCS00072_2023Permit_Initial

2023
Permit and Registration
Ivey's Septic Tank Service, Inc.
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00072
oand registered as a
NORTH
EQ�J
AftL 12 ��
-�� Septage Management Firm�� �� w� ��nffii�utr
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. North and South Durham WRF, Durham, NC
2. Mason Farm WWTP, Chapel Hill, NC
3. East Burlington WWTP, Burlington, NC
4. Town of Siler City WWTP, Siler City, 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 11:52:55-05'00'
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*
Ivey's Septic Tank Service, Inc.
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00072
Enter the five digits following the NCS #
Street address of office*
Street Address
1122 Brookhollow Road
Address Line 2
City
State / Province / Region
Efland
NC
Postal / Zip Code
Country
27243
USA
County*
Orange
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
919-732-5592
Email*
[e-mail]
Owner Info
Firm owner's name*
Toby Davis Ivey
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
919-606-4624
Operator Info
Firm operator's name*
Firm operator's title
Toby Ivey
President
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
919-606-4624
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 400,000
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: *
Orange, Durham, Alamance and Chatham
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
NY Pt 1
Date*
12/8/2022
Title*
President
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage KL2089 2NKHHM6X4DM343120 1,600
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*
City of Durham's South and North
Water Reclamation Facilities
East Burlington Wastewater Treatment
Plant
Town of Siler City WWTP
OWASA
Septage Land Application Sites (SLAS)
Yes • No
Septage Detention or Treatment Facility (SDTF)
Yes • No
Expiration Date*
12/31/2023
12/31/2023
12/31/2023
12/31/2023
Authorization
Septage
Permit
Renewal for
2023_000.jpg
Septage
Permit
Renewal for
2023_001.jpg
Other disposal method*
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
10/19/2022 6
Location*
Bur -Mil Club 5834 Bur -Mil Club Rd Greensboro, 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
435.79...
532.82...
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
U� 1 1
Date
12/8/2022
06:27:59 AM
Print Name*
Toby Davis Ivey
Title*
President

AUTH0RIZATI0N 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.
I, Travis Rich, Certification 4999730, OWASA-Masan Farm WWTP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
170 Old Mason Farm Rd, Chapel Hill, NC 27517
(Address)
919-537-4354 d❑ hereby authorize Toby Ivey
(Phone Number) (Owner/Operator of 5eptage Management Firm)
of Ivey's Septic Tank Service NCS # 00072
(5eptage Management Firm Name and NCS number)
to dispose of: domestic septage X portable toilet waste X
grease septage (grease trap purnpings) N/A commercial/industrial septage N/A , from
❑range and surrounding counties
(County or other Geographic Area)
at the above named wastewater treatment facility. 5eptage shall be discharged at:
170 Old Mason Farm Rd, Chapel Hill NC
(Location)
between the hours of Monday -Friday 08:00AM-4:00 PM
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed +%4r� Date 2 " 02 Z
(Facility Operator) ��11
Subscribed and affirmed before me this T►� day of 4 iC& k lr` . 20
9A My Commission expires:
(NotaryPublic)
- KELLY H, nLCHER (OFFICIAL SEAL)
Noiary Public, !North Carolina
- Alamance County
%4v Comrni55i0n Expires
Note: Falsification of this document by gement firm shall lead to permit revocation.
5:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm AppliCation/WWTP Authorization Form 2018

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental quality
Division of Waste Management - Solid Waste Section
7.64E 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.
Brittany York, 1007288, Town of Siler City
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
PO Box 769, Siler City, NC 27344
(Address)
[phone] do hereby authorize Toby lvy
(phone Number) (Owner/Operator of Septage Management Firm)
of Ive 's Septic Tank Service Inc NCS # 00072
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X portable toilet waste X
grease septage (grease trap pumpings) No commercial/industrial septage No from
Chatham County
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Headworks
(Location
between the hours of Mon - Fri 7:00 am - 4: 0 pm
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until Dec. 31, 2023
r (Usually December 31, Year)
Signed G Date ja lzg2 2-
(Facility opera ❑r)
Sub scri ed and affirmed before me this day Q
20
My Commission expires:
(Notary Public) (I 1 ►t��
�C I.Y. �'►
Note: Falsification of this document by the septage management firm shall lead to perR+Jtgfi..A�;
S:/Solid_ Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2019 // C .( `�

CITY OF
DURHAM
Department of Water Management
AUTHORIZATION TO DISCHARGE
Ive 's Septic Tank Service
hereby is granted permission to discharge domestic septage waste into City of Durham's
North and South Water Reclamation Facilities. This discharge shall be between the hours
of 7:30 a.m. and 4:00 p.m., five days a week. Permission to discharge is restricted to
waste collected in the state of North Carolina. The maximum discharge volume of each
load is 1600 gallons.
Ivey's Septic Tank Service shall comply with all provisions of City of Durham's Sewer
Use Ordinance. If any provision of the City's Sewer Use Ordinance is violated, this
authorization may be terminated.
Fee assessment and waste determination may be required at the discretion of the City of
Durham, Department of Water Management.
This authorization shall be valid from January 1, 2023 until December 31, 2023.
111NIV,
NohfnDodson — Date
North Durham Water Reclamation Facility
1900 East Club Boulevard
Durham, North Carolina 27704
[phone]
Charles Cocker - Date
South Durham Water Reclamation Facility
6605 Farrington Road
Chapel Hill, North Carolina 27517
[phone]

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
Division of Waste Management - Solid Waste Section
401 Oberlin Rd., Ste. 150, Raleigh, N.C. 27605
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.
1, Darrin Allred Chief Operator of the East Burlington Wastewater Treatment Plant
(Plant Operator and Name of Plant)
225 Stone Quar Rd. Burlington, NC 27217
Address}
L336 ) 578-0515 do hereby authorize Tobey Ivey _
(Phone Number) (Owne►/Opwator of Septage Management Firm)
Of Ives Septic Tank Cleaning NCS # S00072
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X , portable toilet waste NIA
grease septage (grease trap pumpings) N/A commerciatlindustrial septage N/A
from Alamance County Only _ at the above named wastewater treatment facility.
(County or other Geographic Area)
Septage shall be discharged at: The Influent Septage dump it of the East Burlington Wastewater Treatment Plant.
(Location)
between the hours of 8:00 —11:30 am 112:00 - 5:00 pm Monday — Saturday
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This horization shall be v/liduit December 31, 2023
(Usually December 31, Year)
Signed L Date 9 2� —
{Facility Operator}
Swom to and subscribed before me this _ _ _ day of Se- 20 y
My Commission expires:
(Notary Public) co
(OFFICNote: Falsification of this document by the septage management firm shall lead to permit revocation.
H:CLAIFORMS12009 Firm App]icationANWTPAuthorizationForm2010