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Home My WebLink AboutNCS00128_2023Permit_Initial2023 Permit and Registration Elvis Service Co., Inc is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00128 o and registered as a e:,e D NORTH EQ %L 12. 9* -�� Septage Management Firm�� w� ��nffii�utr E,%r Q'M 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, Tide 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. Septage Land Application Site, SLAS 78-22 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 Sugg Digitally signed by Wm Perry Sugg Date: 2023.02.02 12:15:29-05'00' Perry Sugg, Environmental Compliance Branch Head 12/23/22, 10:21 AM Submission Completed State of North Carolina Application for Permit to Operate a Environmental Quality Waste Management Septage Management Firm 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* Elvis Service Company The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) * NCS-00128 Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX) Street address of office* Street Address 2200 EXECUTIVE AVE Address Line 2 City MYRTLE BEACH Postal / Zip Code 29577 County* Out -of -State Mailing address same as street address of office?* Yes No Phone* 843-448-5016 Email* INFO@ELVISSERVICECOMPANY.COM State / Province / Region SC Country USA Fax 843-626-7002 https://edocs.deq.nc.gov/Forms/Form/Submit 1/5 12/23/22, 10:21 AM Submission Completed Owner Info Firm owner's name* PHILLIP ELVIS Mailing address same as street address of office?* Yes No Phone* Fax 843-448-5016 843-626-7002 Operator Info Firm operator's name* Firm operator's title MATTHEW HASELDEN MANAGER Mailing address same as street address of office?* Yes No Phone* Fax 843-448-5016 843-626-7002 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 25,000 Portable Toilet Waste 25,000 Grease (Restaurant) 25,000 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in:* BRUNSWICK, COLUMBUS, NEW HANOVER https://edocs.deq.nc.gov/Forms/Form/Submit 2/5 12/23/22, 10:21 AM Submission Completed 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* 12/23/2022 Title* MANAGER Choose how to add vehicle descriptions* Add vehicles individually Upload List Upload vehicle list* You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag #, Vehicle Identification #, and Tank Capacity. NCDENR 2022 TRUCK LIST - Sheet1.pdf 21.58KB Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Approved wastewater treatment plant* Yes No Septage Land Application Sites (SLAS)* Yes No If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. Permit Verification I certify that I AM the permit holder for this SLAS. If unchecked, please attach a signed land application authorization form for each site. https://edocs.deq.nc.gov/Forms/Form/Submit 3/5 12/23/22, 10:21 AM Submission Completed SLAS #* SLAS-78-22 Expiration Date* 12/31/2023 Septage Detention or Treatment Facility (SDTF) Yes No Other disposal method* Yes No Authorization * SLAS AUTHORIZ... 1 .1 MB Septage Management Firm Operator Training Completed Date* Hours* 10/19/2022 4 Location * 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 Registration Type Select one* Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm https://edocs.deq.nc.gov/Forms/Form/Submit 4/5 12/23/22, 10:21 AM Submission Completed 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 12/23/2022 09:44:11 AM Print Name* Matthew Haselden Title* Manager https://edocs.deq.nc.gov/Forms/Form/Submit 5/5 Year Make Model Usage Gallons Tag Vin 2020 WEST STAR 4700sf GREASE TRUCK 4500 P679878 5KKHAXFM7PLH8180 1993 INTERNATIONAL 4900 GREASE TRUCK 2500 P826786 1HTSHPCR4PH505722 2006 INTERNATIONAL 7600 GREASE TRUCK 5000 P826785 1HTWYAHTX6J341371 2000 INTNERNATIONAL 4900 SEPTIC TRUCK 2500 P566914 1HT5DAAN6YH299281 2015 WEST STAR 4900SF GREASE TRUCK 5500 P744183 5KKMAEBGXGPHJ1312 2017 WEST STAR 4700SD SEPTIC TRUCK 3500 P826784 5KKHAXDV2HPJC0670 2022 WESTERN STAR 4700-SB GREASE TRUCK 4500 P826787 5KKHAXDVlNPNK7198 2022 FREIGHTLINER M2106 SEPTIC TRUCK 2500 P824370 1FVACXD26NHNH4336 2006 INTNERNATIONAL 4300 TOILET 1200 P530024 1HTMMAAL96H196408 2018 INTNERNATIONAL 4300 TOILET 1200 P661006 1HTMMMML4JH344907 2015 INTNERNATIONAL 4000 TOILET 1200 P692859 3HAMMMML8FL709056 2017 DODGE 5500 TOILET 800 P659509 3C7WRMCL8HG753864 2018 DODGE 5500 TOILET 800 P667370 3C7WRNCLOJG391685 2015 FORD F550 TOILET 800 P679807 1FDUFSGT7FEA14322 2016 DODGE RAM 5500 TOILET 800 P679810 3C7WRMBL8GG193876 2019 FORD F750 TOILET 800 P673805 1FDWF7DCOKDF00687 2021 FREIGHTLINER M2106 Pump Truck 1200 P812023 1FVACWD24MHMX6676 2022 MACK MD TOILET 1200 P823213 1M2MDBAAXNS002550 2015 DODGE RAM 5500 TOILET 800 P832959 3C7WRMBL9FG707829 2018 DODGE RAM 4500 GAS TOILET 800 P682133 3C7WRLBJ5JG285107 2023 MACK MD6 TOILET 1200 P845421 1M2MDBAA8PS004882 2014 INTERNATIONAL 4000 SEPTIC TRUCK 2500 P698005 1HTMMAAN8EH485618 2016 INTERNATIONAL 4300 SEPTIC TRUCK 2500 P747584 1HTMMMMNXHH475660 1998 INTERNATIONAL 4300 SEPTIC TRUCK 900 P533028 1HTSCAAL8WH546590 2018 WEST STAR 4700SB GREASE TRUCK 4000 P777402 5KKHAXDV4JUP7132 2022 Mack MD Pump Truck 1200 P838092 1M2MDBAA6PS004881 2007 FORD F550 Pump Truck 900 P599613 1FDAF57P27EB50784 2020 WEST STAR 4700SB GREASE TRUCK 4500 P766606 5KKMAXDV7LLMA2236 2021 FORD F550 TOILET 800 P803548 1FDUF5GT6MEC65832 AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE LAND APPLICATION SITE PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a fond application site permit holder to indicate that permission has been given to a permitted Septage Management Firm to land apply septage an the permit holders land application site.) dF Enviro-Choice Recycling, LLC (Site Operator) 3330 Saddletree Road, Lumberton, NC 28360 do hereby authorize: �i (Operator Address) (6wner of Septage Management Firm {Name of Septage Managc'menttirm } e2 (Septage Management Firm ruts# CtO I elo ? / I . -0 - Ve- . &fo 6 5 . C, - ddress) to use septage disposal site # 78-22 for the disposal of / M� gallons of septage* ire 20_�� Date.- 12/2212022 Signed * As refined in G.S. 130-A-790(a)(32). The site will he operated in accordance with 15A NCAC 136 ,0800 - Septage Management Rules Return the properly completed form ta: North Carolina Department of Environmental Quality Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 r First N'�amne Received Last Name NA' Credit Hours of Continuing Education This% Cerfificate of Attendance Presented Bv: NORTH CAROLINA SEPTIC TANK ASSOCIATION Hours Accredited bN NCOW("R"B Installer/hispector/E valuator die. -1 1 r Waste Nlvixmt N(` DiN i6-Jon o t.15 Septage FirviiNlgmt 4 Hours L.i nApplication L , C17 _ RFMS Bmard WPCS0(..'4("/l CEA).2,212.201 (Subsurface Operator) Other* Important: p this in a safe place. h A Jen-\- � Pe arc � . r � Pre -o� a 0, O RTH CARD LI A North Carolina Department of Environmental Quality Division of Waste Management Solid Waste Section Division of Waste Management Solid Was�e Section 1646 Nail Service Center Raleigh, NC 27699-1646 Phone/Fax: (919) 707-$298 Fmall,-J'ared.w-llsc)n@ncder)r.gov Septage - Annual: Elv'is Service Co., Inc (NCS-00128) 2200 Executive Ave Myrtle Beach, SC 29571 Number of Tracks: 26 'fa: Phi{ Elvis Elvis Service Co., inc 2200 Executive Ave Myrtle Beach, SC 29577 Date Due. Date: Invoice #-. 0 0912712022 NCS-00128-2023 1211512022 LATE FE E : In accordance with N C GenenaI S to W t s G S 13O - 1_ I (e ), a late wi kl be appiled to any annual permit fees not submitted by January 1. 0 -. Payment 00ions.0 -check Available online at httg ; _ , -_ Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number shown on this invoice to access your a ccotint. If a z1p code is not listed, use the code: 99999 along with the invoice number. Credit Card Available online at https-.ZZdeg.nc.gov/swr)ay Accepts MasterCard, Vi5a, and Discover cards. You will need to use the zip code in the description box and the invoice number shown f) '�iis invoice to access your account. if a zip code is not listed, use the code.: 99999 along i-th the invoice number. t"'onvenjence Fee of _ % added to amount i nvo iced _1 Paper check yoke checks payable to I _ _ Division of Waste Management, Solid Waste Section, inckide Pori it Number and invoice number on check. if you are paying by (�1!r-kronis trari f rf -include [he involce number with olur electronic tr. an5f r. Please return a copy of this invoice w1th your payment, Exr)lanatian of Invoic [G.S. 25-3-506-4 A $25.00 processing fee will be charged on all returned checks.] I is Based on Fir`I rrnt Per remit Stag ' Pursuant to Noah Carolina General Statute 134A-291_1 you are required to pay fee(s) based on your solid waste management activities. The fee(s) shall be used to sUpport the septage management program. For questions re ardin Billing Regulations or Technical Assistance Jared Wilson (919) 707-8298 Chester Cobb (919) 707-82$3 Jeffrey Bullard (919) 707-8285 More information available on the web: (north Carolina Department of Environmental Quality (DEQ} - hitps://deq.nc.gov Noilh Carolina Sol -id Waste Program - hus: de .nc.jov aboul diWisians waste -mono ement snlid-waste-section Narita Carolina Septage Management Pmgram - https: de .roc.govlabnLtldivisinrislwaste-rrianapementlsoiid-was#e-se ha ndl i n septaae X K)L- N_ �? _? 0 k re ed»kwastes-and-aIternati - JWJ Gmalul Payment Confirmation 1 message do not reply@ncdenr.gov <dn_not repEy@ncdenr.gov> To: info@elvisservicecompany.com Thank you for your recent payment to NC DEQ Solid Waste. PaynnentApplicationq NC DEQ Solid Waste Epayment Payment Status.- Payment completed successfully. Confirmation Number: 22120851199595 Payment Date: 12/08/2022 Billing Address: Matthew E. Haselden 2200 Executive Ave Myrtle Beach,, SC 29577 8434485016 Card Type.- MC Card Number: x7701 Payment Amount: 800.00 USD Convenience Fee: 21.20 USD Total Amount: 821.20 LJSD Matthew Haselden <haseldenmatt@gmail.cvm> Thu, Dec 8, 2022 at 2:55 PM deference Information: N CS-0 0 128-2023 ,2957 7, Elvis Service Co., I n c, 2200 Executive Ave,Myrtle Beach ,SC,NGS- 00128,$800.00 DO NOT REPLY DIRECTLY TO THIS EMAIL.