NCS00118_2023Permit_Initial

2023
Permit and Registration
Hendersonville Portable Toilets
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-00118
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. City of Hendersonville WWTP, Hendersonville, NC
2. City of Brevard WWTP, Brevard, 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 PerryDigitally signed by Wm
Perry Sugg
Sugq Date: 2023.02.02 12:07:34
-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*
Hendersonville Portable Toilets
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00118
Enter the five digits following the NCS #
Street address of office*
Street Address
540 S GROVE ST
Address Line 2
City
State / Province / Region
HENDERSONVILLE
NC
Postal / Zip Code
Country
28792
United States
County*
Henderson
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
828-692-3438
Email*
[e-mail]
Owner Info
Firm owner's name*
Craig Travis
Mailing address same as street address of office?*
• Yes No
Phone* Fax
828-692-3438
Operator Info
Firm operator's name* Firm operator's title
Craig Travis Owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
828-692-3438
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 0
Portable Toilet Waste 18,900
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Buncombe, Henderson, Polk, Rutherford, and Transylvania
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
9LWzz
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*
Portable Toilet Waste KX-6774 1GDJ6C1326F409003 350
Portable Toilet Waste RD-4166 1GDE5C1275F524061 250
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*
City of Hendersonville WWTP
City of Brevard WWTP
Septage Land Application Sites (SLAS)*
Yes S No
Septage Detention or Treatment Facility (SDTF)
Yes • No
Other disposal method*
Expiration Date* Authorization
12/31/2023 Henderson.ti... 5.84MB
12/31/2023 Brevard.tiff 5.4MB
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
1/27/2022 4
Location*
NCSTA Annual Convention 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
12/15/2022
08:39:13 AM
Print Name* Title*
Craig A Travis 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.
i, r , 4* A 0 r �} lJ4T fhrr IduT
cant operator in Responsible Charge (oRC), ORC License Number, Name of Plant)
3 dtl r + a P: 4 F6 As t fi � -5 r r3 c
3— &1 61 (Address)
328-692-3438 do hereby authorize Craig Travis: Owner
(Phone Number) (Owner/Operator of 5eptage Management Firm)
of Hendersonville Portable Toilets NCS # 99118
(septage Management Firm Name and NC5 number)
to dispose of: domestic septage `f portable toilet waste X
grease septage (grease trap pumpings) commercial/industrial septage from
Transylvania- Western North Carolina
jCounty or other Geographic Area)
at the above named wastewater treatment facility. 5eptage shall be discharged at:
(Location)
between the hours of
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until Oel
(Usually December 31, Year)
92
Signed DateFacility Operator)
,a
Subscribed and affirmed before me this -� day ofS -r 20 aa
My Commission expires: ^a~k CIA -)A
(Notary Public)
(0FFICIAL SEA i�►�tittit°t�i{rirk►ri►rr
1%0TARY
Note: Falsification of this document by the septage management firm shall lead to perm it revocarRo 2?
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AUTH 0 RIZATION TO DISCHARGE SERTAGE 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.
Garrett DeMoss, 1000305, City of Hendersonville WWfP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
99 Balfour Rd, Hendersonville, NC 28792
828 697-3077 do hereby authorize
(Phone !Number)
(Address)
Craig Al Travis
(owner/Operator of Septage Management Firm)
of Hendersonville Portable Toilets NCS #€ 00118
(Septage Management Firm Name and NC5 number)
to dispose of: domestic septage _ Yes , portable toilet waste Yes
grease septage (grease trap pumpings) No Yes commerciaVindustrial septage ,from
Henderson County
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
City of Hendersonville WW-FP, 99 Balfour Road, Hendersonville, NC 28792
(Location)
between the hours of 8.00 AM - 5:00 PM Mond ay - Frida
Reintroducing partially treated liquid into a grease trap is acceptable _LYes ZNo
This authorization shall be valid until December 31 2023
(Usually December 31, Year)
Signed Rr+n.�,iDC i�,L+— _ ❑ate, 1 1- 17 ^ ;,2
(Facility Operator)
Subs 1 ed and affirmed before me this l�l+* day ofic1.1P� 2f1 2z
1
My Commission expires: 3
(Notary Public)
(04bq %!A1_j w
Note: Falsification of this document by the septage managemegt firm shall lead to p;p� Sid`nV��~
S:jSolid_Waste/CLAjSEFrAGEjFORMSj2DI6 Firm ApplicationjWMP AuftKizanon Forms 7,01E 1/11111/1