NCS00221_2023Permit_Initial

2023
Permit and Registration
Bates Septic Tank & Concrete Products Co.
is hereby issued a Septage Management Firm Permit,
STATE ,,
ZNti
Permit Number NCS-00221
and registered as a
DEQA
e:,e
A 2 -�� Septage Management Firm Department fE w� nmental Quality
LAM
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. Town of Cherokee WWTP, Cherokee, NC
2. Septage Detention or Treatment Facility, SDTF-57-02
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
December3l, 2023. Digitally signed by Wm
Wrn Perry
Perry Sugg
Date: 2023.02.02 12:25:41
Sugg
-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*
Bates Septic Tank & Concrete Products
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00221
Enter the five digits following the NCS #
Street address of office*
Street Address
65 Bates Crossing
Address Line 2
City
State / Province / Region
Franklin
North Carolina
Postal / Zip Code
Country
28734
United States
County*
Macon
Mailing address same as street address of office?*
• Yes No
Phone* Fax
8283717060
Email*
[e-mail]
Owner Info
Firm owner's name*
Tim Bates
Mailing address same as street address of office?*
• Yes No
Phone* Fax
8283717060
Operator Info
Firm operator's name* Firm operator's title
Tim Bates Owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
8283717060
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 247,500
Portable Toilet Waste 64,400
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Macon Jackson Swain Graham Haywood Clay Cherokee
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
�
A�
Date*
12/7/2022
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.
20221207_140818.jpg
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
• Yes No
986.21KB
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*
Cherokee waste water treatment plant
Septage Land Application Sites (SLAS)
Yes • No
Septage Detention or Treatment Facility (SDTF)
• Yes No
Expiration Date* Authorization
12/31/2023 167044073189... 1.04MB
If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for
each site.
SDTF #* Expiration Date* Authorization
SDTF-57-02 12/6/2023
Other disposal method*
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
10/14/2022 4
Location*
Performing art in Franklin north Carolina
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
12/6/2022
03:50:22 AM
Print Name*
Title*
Tim Bates
Owner

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AUTHORIZATU11N 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 27699.1,646
Fee IIIElssessments and waste determinations will be required at the discretion of the wastewater
treatment facilit
inco -- Y. The facility has the ultimate prerogative to deny discharges of any wastes to the
m,ng wastewaterstream.
(Plant Operator in Responsible Charge (ORC), QRC License Number, Name of Plant)
do hereby authorize
(Phone Number)
i
of
0le-4c
(Owner/operator of Septage Management Firm)
!L�� 11-7 Ic -2-)
0j N... -�k (2e WC repa-P �,?� 4- NCS # Z9Z�Z
Z-0 0!, Ll - . ;Z 0 CVL'�- C— d'-5 0 ---
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage portable toilet waste I x e
grease septage (grease trap pumpings) commercial/industrial septage from
{County or other Geographic Area}
at the above Warned wastewater treatment facility. Septageshall be discharged at:
(Location)
between the hours of `A'. y!S
Reintroducing partially treated liquid into a grease trap is acceptable
111
Yes
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This authorization shall be valid until 2� 14 & r'� .
C'46 '�� -
(Usually December 31., Year)
Signed La Dat
(Facility Operator)
"r
Subscribed and affirmed before me this
AID
(Notary Public)
day of 20
9
Maur► CouMY
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
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