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Home My WebLink AboutNCS00188_2023Permit_Initial2023 Permit and Registration Cumberland Septic is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00188 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. Moore County Water Pollution Control Plant, Aberdeen, NC 2. Cross Creek WRF/Rockfish Creek WRF, Fayetteville, 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 12:23:07 -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* CUMBERLAND SEPTIC The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-00188 Enter the five digits following the NCS # Street address of office* Street Address 319 MIKE ST Address Line 2 City State / Province / Region FAYETTEVILLE NC Postal / Zip Code Country 28303 USA County* Cumberland Mailing address same as street address of office?* Yes • No Mailing Address* Street Address PO BOX 35192 Address Line 2 City State / Province / Region FAYETTEVILLE NC NC Postal / Zip Code Country 28303 USA Phone* Fax 9108683830 9108679044 Email* CUMPERLANDSEPTIC@AOL.COM Owner Info Firm owner's name* AUDREY STANCIL Mailing address same as street address of office?* Yes 0 No Mailing Address* Street Address PO BOX 35192 Address Line 2 City State / Province / Region FAYETTEVILLE NC Postal / Zip Code Country 28303 USA Phone* Fax 9108683830 9108679044 Operator Info Firm operator's name* Firm operator's title MIKE STANCIL VICE PRESIDENT Mailing address same as street address of office?* Yes • No Mailing address* Street Address PO BOX 35192 Address Line 2 City State / Province / Region FAYETTEVILLE NC Postal / Zip Code Country 28303 USA Phone* Fax 9108683830 9108679044 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 31 3, 900 Portable Toilet Waste 926,095 Grease (Restaurant) 0 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: * CUMBERLAND, LEE, HOKE, HARNETT, SCOTLAND, SAMPSON, MOORE, ROBESON, BLADEN Vehicle Info Do you plan to operate pumper vehicles?* 0 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* 12/12/2022 Title* OWNER 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. PumpTruckL1st.x1sx 9.7KB 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* CROSS CREEK MOORE COUNTY Septage Land Application Sites (SLAS)* Yes • No Septage Detention or Treatment Facility (SDTF) Yes • No Other disposal method* Expiration Date* 12/31/2022 12/31/2022 Authorization CROSSCREEK. p... 493.98... Yes • No Septage Management Firm Operator Training Completed Date* Hours* 2/19/2022 4 Location* RALEIGH NC Training Sponsored or Provided by* NC Pumper Group & NC Portable Toilet Group 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 12/12/2022 09:35:08 AM Print Name* Title* AUDREY STANCIL OWNER TRUCK # VIN # YEAR CS2 3C7WRMDL3HG591463 2017 CS3 1HTHMAAL26H335889 2006 CS4 3C7WRMBL3HG656041 2017 CS5 1HTMKAAN73H578410 2003 CS7 1HTMMAAL4DH416423 2013 CS9 1HTMMMML6JH344908 2018 CS10 1HTMMMML3KH395316 2019 CS11 54DC4W1B9F5801569 2015 CS12 1FDOW5HT9FEA99306 2015 CS13 1FDUF5GT8CEB31676 2012 CS14 1FDUF5HTDEEA77307 2014 CS15 1FDUF5HT7FEA20894 2015 CS17 1HT4MMML7JH714747 2019 CS 18 1 HTM M M M L9J H 714748 2018 CS19 1FDUF5HT8KGE92094 2019 CS20 1FDUF5HT2LDA08816 2020 CS21 1FDUF5HT1LEE49816 2020 CS22 54DCDW1B9KS808516 2019 CS23 1FDUF5HT5NEC27573 2022 CS24 1FDUF5HT7NEC27574 2022 MAKE WASTE TANK DODGE 5500 700 I NTL 4300 1000 DODGE RAM 700 I NTL 4300 2500 I NTL 4300 1000 I NTL 4300 1500 I NTL 4300 1500 ISUZU 700 FORD F550 450 FORD F550 750 FORD F550 750 FORD F553 750 I NTL 4300 1800 I NTL 4300 1800 FORD F550 750 FORD F550 1200 FORD F550 700 CHEVERLOET 700 FORD F550 700 FORD F550 700 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, 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, Scott McCoy #24382 Cross Creek WRF 1 Rockfish Creek WRF (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) P.O. Box 1089 Fayetteville,NC 28302.1089 (Address) 910 223.4700 do hereby authorize Mike & Audrey Stancil (Phone Number) (Owner/Operator of Septage Management Firm) of Cumberland Septic NGS# 00188 (Septage Management Firm Name and NCS number) to dispose of: domestic septage X , portable toilet waste X grease septage (grease trap pumpings) commerciallindustrial Septage , from Cumberland & surrounding counties (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Fnrilifu Influent Pum Station (Location) between the hours of Sunrise to Sunset Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until December 31 2023 Signed Date o ? (Facility Ope ator) Subscribed and affirmed before me this' _ day of 20 My Commission expires: (Notary Public} �- // u rr Note: Falsification of this document by the septage management firm shall lead to permit revocation._` y: �Q�pIRY S:ISolid_WastefCLA/SPPTAGEIFORMS/2023 Firm Application/WWTP Authorization Form 2023 ' Z Poor- ;111 rrarrr��t'� 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, Stephen G Morgan, ORC, Biological WW Operator 4 #997509, Moore Coun Water Pollution Control Plant (Plant Operator in Responsible Charge (OR[), ORC License Number, Name of Plant) 1094 Addor Road Aberdeen, North Carolina 28315 (Address) 910-947-4345 do hereby authorize Iti t1-'IL 2TVC'r\CA 1 (Phone Number) (Owner%Operator of 5eptage Management Firm) of _Cumb-e.,rl rind S p� c SQc �r� c e _ NCS # Q0 / R? (5eptage Management Firm dame and NCS number) to dispose of: domestic septage Yes portable toilet waste Yes grease septage (grease trap pumpings) No commercial/industrial septage P • -�� ,. �E. , from Within the boundaries of Moore County, North Carolina OR a contracted service area of the WPCP (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Septic Receiving Station located at the Moore County WPCP (unless otherwise specified by the ORC) (Location) between the hours of 7:00am to 5:Cippm, Monday thru Friday (excluding observed holidays) Reintroducing partially treated liquid into a grease trap is acceptable Yes No No This authorization shall be valid until December 31, 2023 (Usualty December 31, Year) Signed Date J 2' 2-2 iL (Facility Operator) Subscribed and affirmed before me this Z n� day of De'COY'Ab ✓C , 20 2-2 My Commission expires: June 28, 2027 (Notary Public) Samuel A Ring Samuel A qtqq NOTARY PIJ 3LI Moore County, NC Note: Falsification of this document by the septage Management fir—m—sTi7a S:/Solid Waste/CLA/SEPTAGE%FOR'JIS/2p1$ Firm Application/wWTP Authorization Farm 2018