NCS00245_2023Permit_Initial

2023
Permit and Registration
Laney Brothers Septic Pumping
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-00245
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 Monroe WWTP, Monroe, 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.
(.! 4w, &1 /3/2023
Perry Sugg, Eni(t/ronmenitaeCompliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC 276MI646
(1.) Firm name: (The "Finn name" must be exactify as # is shown on your vehkle(s)).
L rl,,, ,eAa ` r nA-knpr--, Se,94; Pk,,,w, d
Street address of office: ' _ `t I D61 11 gq i v i (-K hdmtkid R d .
City: _ Ci�S ■ 1 �ye, State: AJC zip: ;�'S i D 3
Mailing address (if different):
City:
State: Tip:
Phone: b `1- 3 � - -'j i ! Fax:
E-Mail i t,t " \ - C m
County: + Septage Management Firm permit number. NCS # bo'). y-5
(2.) Firm owners name: P e,r 121 1- a-Ag N
Mailing address (if different):
City: State: Zip:
Phone: .5 A A^.,e-
(3.) Firm operators name: Q Firm operators title:
Mailing address (if different):
City:
Phone:
State: Tip:
Fax: ---*'
(4.) Type(s) of septage pumped: Write in the number of -gallons pumped in last 12 Months (Example: Domestic:
50,000).
Domestic Portable Toilet Waste Grease(Restaurant I Treatment Plant Industrial/Commercial
(5.) N.C. Counties of Operation: %:wj t-o Ci U V, , T ��' G _
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated:
Number used for. Domestic Septage:-
Other.
Vehicle Information: (use additional paper if needed)
Grease (restaurant):
Portable Toilet Waste:
License Tag #
Vehicle Identification #
Tank P@pacity
1A
L75—a-3- S
N- 41
ctol
2
Ipvp
3
4
5
APPLICATION CONTINUED ON PAGE 2

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: yes ( ) no. If yes, submit Wastewater Treatment Authorization
for each plant, as indicated in Subparagraph .0833(c)(14) of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#: Expiration Date:. SLAS#. Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: _— Expiration Date: SDTF#. Expiration Date:
(8.) Septage Management Firm Operator Training Comp ted:
Date: q — :I `R — as Location: e JI Hours:
Training Sponsored or Provided by: 1\J C—
(9.) Septage Land Application Site Operator Training Completed:
Date: I nation:
Training Sponsored or Provided by: _�
(10.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
LlnurQ-:
I certify that the information and representations in this application for a permit are true, complete, and accurate to
the hest 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.
rZat"ell, A"��
Signature (ignatumof panyoficiaimquirso
L
Print Name
Other Comments:
Date J
Titre
PAGE 2

NC SEPTAGE MANAGEMENT FIRM
Recertification of Pumper Vehicle(s)
Septage Firm Permit #: NCS- 1) oa L45-
Number of Pumper Vehicles: 1
CERTIFICATION:
"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the
submitted permit application meet the requirements for safe and sanitary
transportation of septage as required by15A NCAC 13B .0844 (a) and vehicle
lettering as required by 15A NCAC 13B .0844 (b). I also certify that a log is
maintained of each septage pumping event as required by 15A NCAC 13B .0839
(a). I am aware that there are significant penalties for false certification including
the possibility of fine and imprisonment."
f1- r —-?"q
Sign ure (Si re of companAfficiat required)
Print Name
Date
Title
S:1Solid_Waste%cla%septagoVormslPumper Vehicles Cetification.doc

f� �r
I onroe
North Carolina
AUTHORIZATION TO DICHARGE SEPTAGE TO A WASTEWATER TREATMENT
FACILITY
I, Kale Ketchum WWTP Superintendent
(Plant Operator or Authorized Representative)
City of Monroe Wastewater Treatment Plant
(Name of Plant)
775 Treeway Drive Monroe NC 28110 704 -282-4612
(Address/ Phone Number)
do hereby authorize Perry Laney, Duly Authorized Representative of
(Owner/Operator of Septage Management Firm)
Laney Brothers Septic Pumping NCS# (00245).
(Septage Management Firm Name and NCS #)
This authorization is not valid until Septage Management Firm Permit is issued and received by the City of Monroe
to dispose of domestic septage _X _, portable toilet waste grease septage (grease trap
pumpings) N/A, commercial/industrial septage N/A from
Union County, North Carolina at the
(County or other Geographic Area)
above named Wastewater Treatment Facility. Septage shall be discharged at City of
Monroe Wastewater Treatment Plant 775 Treeway Drive Monroe. NC 28110
(Location)
between the hours of 8:00am — 5:001)m_ Monday — Friday_.
Reintroducing partially treated liquid into a grease trap is acceptable yes X no
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. This Authorization shall be valid until _December 31, 2023.
Signed: 6�I _ Date:
acility Operator or Authorized Representative)
Note: Falsification of this document by the septage management firm shall lead to permit
revocation
City of Monroe • PO Box 69 • Monroe, NC 28111-0069
Tel: [phone] + Fax: [phone]
www.monroenc.org

North Carolina Department of Environmental Quality
Division of Waste Management INVOICE
NORTH CAROLING
Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Phone/Fax: [phone]
Email: [e-mail]
To: Robert and Perry Laney
Laney Brothers Septic Pumping
4709 Traywick Farm Rd
Marshville, NC 28103
GK. NO.
�/ 2-3
DATE
I�2
,;?rS31
Septage -Annual:
Laney Brothers Septic Pumping (NCS-00245)
X�15526
Number of Trucks:1 AV 1, o ('3� V fk t
Far VIA 9d -
2ia3
Date Due:
Date: 09/27/2022
Invoice #: NCS-00245-2023
$550.00
i iia1!5
12/15/2022
LATE FEES: 1 accordance with NC General Statutes GS 130A-291.1(e2), a late fee will be applied to any annual permit fees not submitted by January 1, 2023.
Payment Options:
E-check Available online at h s://deq.nc.00v/swoav
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 account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card Available online at httos://deq.nc.gov/swpaay
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number shown
on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
[*Convenience Fee of 2.65% added to amount invoiced.]
Paper check Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number on
check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy of this
invoice with your payment.
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Explanation of Invoice Amount is Based on Firm's Current Permit Status:
Pursuant to North Carolina General Statute 130A-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 regarding_
Billing
Regulations or Technical Assistance
Jared Wilson [phone]
Chester Cobb [phone]
Jeffrey Bullard [phone]
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - httos://dgq.nc.00v
North Carolina Solid Waste Program - htt s7/p /deb nc goy/about/divisions/waste-management/solid-waste-section
North Carolina Septage Management Program - httos://deq,ns,.gov/about/divisions/waste-manaaement/solid-was -section! oecial-wastes-and-alternative-
handling septage