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Home My WebLink AboutNCS00168_2023Permit_Initial2023 Permit and Registration A Sani-Can is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00168 o and registered as a e:,e D NORTH EQ�J %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, 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. TZ Osborne WRF, McLeansville, 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. gf 12/14/2022 Perry Sugg, EnviVonmentawl tompliance 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* A Sani-Can The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-00168 Enter the five digits following the NCS # Street address of office* Street Address 2316 Joe Brown Drive Address Line 2 City State / Province / Region Greensboro NC Postal / Zip Code Country 27405 United States County* Guilford Mailing address same as street address of office?* Yes • No Mailing Address* Street Address 8151 Webbs Road Address Line 2 City State / Province / Region Denver NC Postal / Zip Code Country 28037 United States Phone* Fax 704.483.5641 704.483.8481 Email* neeley@asanican.com Owner Info Firm owner's name* Newt Pate Mailing address same as street address of office?* • Yes No Phone* Fax 202.907.8839 Operator Info "J Firm operator's name* Firm operator's title Neeley Robinson President Mailing address same as street address of office?* • Yes No Phone* Fax 704.483.5641 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 0 Portable Toilet Waste 320,231 Grease (Restaurant) 0 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: * Guilford, Davidson, Randolph, Forsyth, Stokes, Moore, Rockingham, Chatham, Orange, Durham, Wake, Alamance, Franklin 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 1W,I4e-r Date* 11/23/2022 Title* President Choose how to add vehicle descriptions* Add vehicles individually 0 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. Greensboro Trucks.pdf 36.94KB Septage Disposal Method L^ 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* ORC-TZ Osborne Water Reclamation Septage Land Application Sites (SLAS) Yes • No Septage Detention or Treatment Facility (SDTF) Yes • No Other disposal method* • Yes No Description * Onsite into the county Expiration Date* Authorization 12/31/2023 ORC-TZ 306.01... Osborne.pdf Authorization City of 60.3KB Greensboro. p... Septage Management Firm Operator Training Completed Date* Hours* 1/27/2022 12 Location* Hickory, NC Training Sponsored or Provided by* NC Septic Tank Association Septage Land Application Site Operator Training Completed^ Date Hours 1/27/2022 6 Location Hickory, NC Training Sponsored or Provided by NC Septic Tank Association 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 11/23/2022 02:18:40 AM Print Name* Title* Neeley Robinson President TRUCKS A SANI-CAN SERVICE Greensboro TRUCK # YEAR MAKE/MODEL VIN# TAG# TANK CAPACITY 22 2000 Ford F-650 3FDWF65H4YMA06981 EK6019 1000 Gallons 26 2002 Freightliner 1FVABPAK82HI85835 FB1027 1000 Gallons 27 2003 International 1HTWAAAN83J062562 AY7778 1000 Gallons 80 2004 Freightliner 1FVACWCS44HN17342 AY7781 1000 Gallons 203 2006 Freightliner 1 FVACWCSX6HW99454 CV2548 1000 Gallons 219 2013 Hino 338 5PVNV8JTOD4S53090 YA126024 300 Gallons 307 2016 Hino 338 5PVNV8JJ1G4S50296 FJ5180 1000 Gallons 308 2017 Hino 338 5PVNV8JV6J4S57707 JA1002 300 Gallons 309 2018 Hino 338 5PVNV8JL4J4S50432 JF8995 1200 Gallons 310 2019 Hino 338 5PVNV8JV6K4S58311 JL1709 1200 Gallons 311 2019 Hino 338 5PVNV8JT4K4S55289 JP2709 300 Gallons 312 2020 Hino 338 5PVNV8JV9L5S60338 KA3307 1200 Gallons 313 2020 Hino 338 5PVNV8JV5L5S60532 KA3308 1200 Gallons 314 2022 1 Kenworth T270 2NKHHM6X1 NM492893 KZ2424 1200 Gallons CITY OF GREENSBORO WATER RESOURCES DEPARTMENT INDUSTRIAL WASTE SECTION HAULED WASTE DISCHARGE PERMIT In compliance with the standards and regulations adopted by the North Carolina Environmental Management Commission, and the regulations and policies established by the City of Greensboro A Sani-Can (dba Porta John) is hereby authorized to discharge hauled domestic septage at the T. Z. OSBORNE WASTEWATER TREATMENT PLANT NPDES PERMIT NCO047384 This permit is effective JANUARY 1, 2023 This permit expires DECEMBER 31, 2023 sboro Industrial Waste Section Signature/ Seal/ Date City of Greensboro CY2023 Hauled Waste Discharge Permit: Page I of 1 /y«j�.If]:ZIr�_�>i[�Ii;i��l�7I►��.1_[:ZH�►��i��[�liL■t��_��l_��i►Istrl:i<i:��_� 111�►�iy_[yl�rt�•1 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. Bradley Flynt (Grade IV 27272) ORC for T Z Osborne Water Reclamation Facility (Plant Operator in Responsible Charge (oRC), ORC License Number, Name of Plant) 2350 Huffine Mill Road, McLeansville NC 27301 336-433-7262 (Phone Number) do hereby authorize (Address) Neeley Robinson - CFO (Owner/Operator of Septage Management Firm) of A Sani-Can Service NCS # 168 (Septage Management Firm Name and NCS number) to dispose of: domestic septage NO portable toilet waste XXX grease Septage (grease trap pumpings) NO commercial/industrial septage NO from Guilford County NC (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: City of Greensboro T Z Osborne Water Reclamation Facility (Location) between the hours of 7:00 a.m. - 6:00 p.m. Monday through Saturday XX Reintroducing partially treated liquid into a grease trap is acceptable Yes No This authorization shall be valid until December 31, 2023 (Usually December 31. Yea6 Signed (F ility O erator) Subscribed and affirm- doff me th (Notary Pub Date /C1• iG ),2 day of L/��Ofi�✓�20 a a My Commission expires: 1 A'1 71, ?—oac IZ1E>h� BUG CHAV� OFFICI II2 2Q� Note: Falsification of this document by the septage management firm shall lead to permit revocation. S:/5t)lid_waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018