NCS00246_2023Permit_Initial

2023
Permit and Registration
Matthews Septic Tank Service
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00246
o and registered as a
e:,e D
E� M
-�� Septage Management Firm ��en� f� w� nmenta�llry
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. Septage Land Application Site, SLAS-74-06 SLAS-33-05
2. Septage Detention or Treatment Facility, SDTF-74-06
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 PerrySugg Sugg
Date. 2023.02.02 12:26:58 -05 00
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DMSION OF WASTE 1MANAGMW - SOUD WASTE SECTION — t6U BAIL SERI M CENTER, RA MK NC 27699-1646
(1.) Firm name: (Tire 'Firm name" must be exadfv as it is shown on your vshkle(s)).
ice..
Street address of office:
City: '-1 State: Zip:2�9o1
Mailing address (ifdif6erenl): _f • V - iXX, d
City: ra/vIVIr� '� -t,q Stale-
Phone- _' ,Q — r 14 " 1 O Far-
E-Mail:
County:
(2.) Firm owners
Mailing address cif different): 'l YY\
Firm pew number: W* #! ALEO
City: State: zip:
Phone: Fax.
(3.) Firm operator's ram: ` Firm operator's titre:
Mailing address (d difkrent):
City.
Phone-.
>r
Fax
Zip:
(4.) Type(s) of septage pied: Write in the nwaher of _gWbw powed in bast 12 Youths (Example: Domestic:
50,fmo).
Domestic
Pat" Toilet Waste Grease (Restaurant) Treatment Plant
(5.) N.C. Counties of Operatiarr r -
(LM each wu* you ae auMwimd to do tam in)
(6.) Total Number of Pumper Vehicles Operated- - 4
Number used for: Domestic Septage:Grease (restaurant):
Other. Portable Todd Waste:
Vehicle Information: (use additional paper if needed)
0
APPLICATION CONTINUED ON PAGE 2

PAGE 1
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FR- '' PAGE 1)
(l.) SepbW- Dqxsd Mew (dc one)
a) Approved wasiea dw plant( )yes (v no. lfye%subriitVbsbwaterTmoner#AWbut000n
for each phK as Wcalad in Subparagraph .0833(c)(14) of the Sepbkge Wmagemetrt Rules.
b) Septop Land Appkabw Ste (SEAS) Perms MWMM (use ad&WW Waft I need)
WS* D E*afiwDath: ) -I _ SEAS : -,3'' ' EJVeaWnDate: 19" 3/-02a
c) Sephage orTmatmerd Fac&y (SDTF) Pont Nuurrbem (use addllonal sheets I needed)
SDTF# "7 E)#afim Darte.l ' -31-a1 - SDTF# E> n Deie. _._
(�•)SeplageMaroverryort Firm OperaWrTrainiq
Trams Sparred or ftvid by: _.L
(9.) 5eptage Land Aptim Sie ope *rTMMV t}dte of 'r�� LocatiotLMI �]c �' Haw ,
Tra Spot>saed or Provrded by G�
(fa-) R 4wrem CHECK ONE
Red bmW Portable SwAdw Fear:
Refined Septage Mkt Fim�—
Reg*hned Portable Sardbfion and Septage Malt Fmw
I cerffy that fhe hftmfion turd top esetoli0ns in We-, 1; i i s ti ".::.for a psi ate eoi1l , and add to
the best of my hedge and 6e#ief. 1 am aware that a permit may be impended or -; oked upon a findb g Brat its
issuance vras based upmt [rrsa ud or hadequale irtmoa6on tfat mderr* affected the dedsbn to issue the
perm9 and VW there are crht kW poWrm for bwmdn* maldng a Use I I rop es a ik or Sian-
9lifetot '`—+•*+�I
f >> e 7A fMzc_.5
other Conww ts:
Date
Title
WSdd Wags-rAA,S AGEFM_lSrlQiBFtnm ,,W.� g 1�iC�6op2016
PAGE 2

Mom.
r �• n
North Carolina Department of Environmental Quality
Division of Waste Management INV'010E
NORTHnV&WW CAROGNA Solid Waste Section
Envfrarmre¢tiarQneediry
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Phone/Fax: [phone]
Email: [e-mail]
To: Curtis Matthews Jr.
Matthews Septic Tank Service
PO Box 233
Farmville, NC 27828
CK. N0.
DATE
IZ`�'�-Z2.
80 6. rb
Septage - Annual:
Matthews Septic Tank Service (NCS-00246)
PO Box 233
Farmville, NC 27828
Number of Trucks: 2
Date: 09/27/2022
Invoice #: NCS-00246-2023
$800.00
�~ Date Due: 1 12/15/2022
LATE FEES. In 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 his://deg.nc.g_ov/sw�av
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 https://dea.nc.gov/swpay
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
jG.S. 25-3-506: A $25.00 processing fee will be changed on all returned checks.]
Exolanation 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) - https://deq.nc.gov
North Carolina Solid Waste Program - htt_ s: de..nc. jov'abou,. division,, waste -management solid -waste -section
North Carolina Septage Management Program - Ids:• cle-3.ncsov. aboutidivisions/waste-manayemenr_rsolid-waste-section/Weciai-wastes-and-alternative-
handling/septage