NCS00256_2023Permit_Initial

2023
Permit and Registration
Register's Septic Tank Pumping
is hereby issued a Septage Management Firm Permit,
STATE,, _ Permit Number NCS-00256
oand registered as a
NORTH
A%L 12. rim
-�� Septage Management Firm�� �� w� ��nffii�utr
4sr
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. Norman H. Larkin WWTP, Clinton, NC
2. Septage Land Application Site, SLAS 31-13
3. Septage Detention or Treatment Facility, SDTF 31-07
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.
6tJ � P � 12/15/2022
Perry Sugg, En ' onmental 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*
Register's Septic Tank Pumping
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00256
Enter the five digits following the NCS #
Street address of office*
Street Address
205 West Rd.
Address Line 2
City
State / Province / Region
Turkey
NC
Postal / Zip Code
Country
28393
USA
County*
Sampson
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
910-293-4022
Email*
[e-mail]
Owner Info
Firm owner's name*
Kenneth Wayne Register Jr.
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
910-293-4022
Operator Info
Firm operator's name*
Firm operator's title
Kenneth Wayne Register Jr.
Owner
Mailing address same as street address of office?*
0 Yes No

Phone*
910-293-4022 or 910-
533-2680
Fax
Type and amount of septage pumped in the last 12 months A
Amount in gallons*
Domestic
165,000
Portable Toilet Waste
4,500
Grease (Restaurant)
46,000
Treatment Plant
0
Industrial/Commercial 0
North Carolina counties of operation}
List each county you plan to do business in: *
Sampson, Duplin, Wayne, Pender, Onslow, New Hanover
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
Date*
12/9/2022
Title*
owner/operator
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage*
License Tag #*
Vehicle Identification #*
Tank Capacity*
Domestic
Septage
YA120885
1FVACXDA74HM83988
2,000
Domestic
Septage
CY3456
LEDXK84NIHVA50932
2,100
Domestic
Septage
AX6999
1FDXF80CSSVA04777
1,500
Portable
Toilet Waste
AX6998
J8DC4B145X7010724
800

Portable Toilet Waste HC-6081 1FDVF5GT7GED30403 600
Domestic Septage YA169120 1FUGC5CV18HZ54904 4,000
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*
Norman H. Larkins WWTP Clinton, NC
Expiration Date* Authorization
12/31/2023 Registers 111.91...
Septic 2023
Authorizatio...
Septage Land Application Sites (SLAS)*
• Yes No
If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site.
SLAS # *
SLAS -3113
Expiration Date*
3/30/2026
Authorization
Septage Detention or Treatment Facility (SDTF)
• Yes No
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-31-07 11/30/2023 RSTP SDTF-31- 1.83MB
07.pdf
Other disposal method*
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
12/3/2022 4

Location*
NC State Fair- Gov. Martin Building
Training Sponsored or Provided by*
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
Date Hours
12/3/2022 3
Location
NC State Fair- Gov. Martin Building
Training Sponsored or Provided by
NC Pumper Group & NC Portable Toilet Group
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
I do not have a copy of SLAS 3113 exp 3-30-26.
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
OC-M-I� �/ � O�tl-
Date
11/17/2022
11:40:02 AM
Print Name* Title*
Kenneth Wayne Register Jr. [e-mail]

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.
Blake Raynor, 1001100, Norman H. Larkins WWTP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
123 Mill Branch Road, Clinton, NC 28328
(Address)
[phone] do hereby authorize Ken Register
(Phone Number) (Owner/Operator of Septage Management Firm)
of Register's Septic Tank Pumping NCS# 00256
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage W] , portable toilet waste
grease septage (grease trap pumpings) NOT ACCEPTED NOT ACCEPTED commercial/industrial septage , from
Sampson and surrounding counties
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Norman H. Larkins WPCF, 123 Mill Branch Road, Clinton, NC
(Location)
between the hou rs of 7:00 AM to 3:30 PM (after hours upon approval)
Reintroducing partially treated liquid into a grease trap is acceptable Yes ZNo
This authorization shall be valid until December 31 , 2023
(Usually December 31, Year)
Signed Date
(Facil' Operator)
Subscribed and affirmed before me this day of 20
My Commission expires: ..•� '•,,
(Notary Public) %$' : � `ssion�c'}•.G�''•,
(OFFIC AL L�,OTARY
• PUBV%C`
.•a •
Note: Falsification of this document by the septage management firm shall lead to permit revocati w"-, ��N .16k000 °•••
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018
u�iunu

`M City of Clinton
!�14'
Norman Public Works &Utilities Department
n H. Larkins Water Pollution Control Facility
Public Works &
Utilities Department
WASTEWATER HAULER AUTHORIZATION
Based on the information provided to the City of Clinton WPCF via the City of Clinton Wastewater Hauler Questionnaire,
and when applicable, the completion and submission to the State of North Carolina of the AUTHORIZATION TO
DISCHARGE SEPTAGE TO A WASTEWATER FACILITY, the following Wastewater Hauler is authorized to dispose of hauled
wastewater to the Norman H. Larkins WPCF at a maximum loading and per the requirements as set forth in the City of
Clinton Norman H. Larkins Wastewater Treatment Plant Hauled Wastewater Acceptance Policy and the City of Clinton
Sewer Use Ordinance, Chapter 22, Water and Sewer, Article V. Sewers.
Hauler Information
Hauler Name: Ken Register, Register's Septic Tank Pumping
Hauler Address:
205 West Road
Turkey, NC 28393
Hauler Telephone: [phone]
Alternate Telephone: [phone]
Name: (Print) Blake Ra n
Signature
Name: (Print) Lisa Osthues
Signature
Expires: 12/31/23
City of Clinton
Wastewater Hauler Authorization
WHAT
Title: Wastewater Manager
Date 2 -Z---
Title: Environmental Programs Manage
Date