NCS00097_2023Permit_Initial

2023
Permit and Registration
Carter Septic Tank Service
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00097
o and registered as a
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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. French Broad River WRF, Asheville, 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.
Digitally signed by Wm Perry
Wm Perry Sugg Sugg
Date: 2023.02.02 11:57:24
-05'00'
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PEWS IIT 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 "Firm name" must be exac as it is shown on your vehicle(s)).
e -_5
Street address of office: 10 5- L 4 4 &r ZTCA6r _ A
City: '?,4rn :r_d-s v,, de- State:Al C__ Zip:..._.4 6.70 q
Mailing address (if different):
City:
State: Zip
Phone:. i; Q 0 la. 0 3 y5— Fax:
E-Mail: 1,04 r't-e e, r) /P i
County: uw, is .,�, o_ Septage Management Firm permit number: NCS #MA17
(2.) Firm owner's name: L- • 9 r . AA1 [_l r rt_�r
Mailing address (if different):
City.
State: Zip_
Phone: f> v? 6 659 Fax:
(3.) Firm operator's name: ` y Firm operator's title: e2izA��
Mailing address (if different):
City:
State: Zip:
Phone: Od 0 / SG :3 5 &/_� Fax:
C3 0
mz
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n a
(4.) Type(s) of septage pumped: Write in the number of Qailons pumoed in last 12 months (Example: Domestic: 50,000).
Domestic
(5.) N.C. Counties of operation:
Grease (Restaurant) I Treatment
you are authorizxfd to
(6.) Total Number of Pumper Vehicles Operated:
Number used for. Domestic Septage: j Grease (restaurant):
Other. Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
mercial
License Tag #
Vehicle Identification #
Tank Capacity
1
2
t
3
4
APPLICATION CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PERM':i TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) (4� yes ( ) 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? ( ) yes ( ) no Initial Date /9A11,g,,j
(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 if needed)
SLAS#: . Expiration Date: SLAS#: _Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#:_ Expiration Date: _ SDTF# Expiration Date:
(9.) Septage Management Firm Op rator Training Completed:
Date: 9� Location: H, 6 1� r ,. Hours:
Training Sponsored or Provided by: A_ _ S:r
(10.) Septage Land Application Site Operator Training Completed:
Date: Location:
Training Sponsored or Provided by:
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours:
1 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 (Signatum of companyofticial requireq
l-r &,A,) CA-ti
Print Name
Other Comments:
Date
Title
'10.
PAGE 2
Rev. 0426-2021

NC SEPTAGE MANAGEMENT FIRM -
Recertification of Pumper Vehicle(s)
Septage Firm Permit #: NCS- D O ® 9 7 _
Number of Pumper Vehicles: 01,
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."
Signature (Signature of company official requireo
B . 4 n1 (f.-rter-
Print Name
;-
Date
Title
S:%Solid WastelcialseptagelformslPumper Vehicles Cetification.doc

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, N.C. 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, Bart Farmer (991328), French Broad River Water Reclamation Facility (MSD of Buncombe County. NC)
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
828-225-8224
(Phone Number)
2028 Riverside Drive; Asheville, North Carolina 28804 _
(Address)
do hereby authorize L. Brian Carter
(Owner/Operator of Septage Management Firm)
of Carters Septic Tank Service
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage Yes , portable toilet waste No
N CS#
00097
grease septage (grease trap pumpings) No commercial/industrial septage No , from
Buncombe, Haywood, Henderson, Madison, McDowell, Mitchell, Polk, Rutherford, Transylvania & Yancey Co.
(County or other Geographic Area)
at the above -named wastewater treatment facility. Septage shall be discharged at:
MSD's Selitabe Receiving, Station at 2110 Riverside Drive; Asheville, North Carolina_28804
(Location)
Between the hours of 24 hours a day / 7 days per week
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until
Signed
411alilikt, Operator)
December 31, 2023
(Usually December 31, Year)
Date pZ
o2
r
Subscribed and affirmed before me this I day of , 20 a_
�9�0� My Commission expires: ag.
(Notary Public)
(OFFICIAL SEAL)
Note: Falsification of this document by the septage management firm shall lead to permit revocation. jt(rQ 009CQ1
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2015 Firm Application/WWfP Authorization Form 2018

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