NCS00262_2023Permit_Initial

2023
Permit and Registration
Asbury's Septic Tank Cleaning Service Inc.
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NORTH CAROLINA
Environmental Quality
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-00262
and registered as a
Septage Management Firm
(PUMPER)
in the State of North Carolina.
PlORTH CAROLiNA �EQ
wll�pl
Department of Environmental Quality
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. Corpening Creek WWTP, Marion, NC
2. Catawba Water Pollution Control Facility, Morganton, 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
December31, 2023. Wrn Perry Digitally signed by
Wm Perry Sugg
Sugg Date: 2023.02.02
12:29:46-05'00'
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*
ASBURY'S SEPTIC TANK CLEANING & BACKHOE
SERVICE, INC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00262
Enter the five digits following the NCS #
Street address of office*
Street Address
1511 Brentwood P1
Address Line 2
City
State / Province / Region
Morganton
NC
Postal / Zip Code
Country
28655-7875
United States
County*
Burke
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
8284437104
Email*
[e-mail]
Owner Info
Firm owner's name*
JAMES C. ASBURY
Mailing address same as street address of office?*
• Yes No
Phone* Fax
8284437104
Operator Info
Firm operator's name* Firm operator's title
JAMES C ASBURY OWNER
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
8284437104
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 135,000
Portable Toilet Waste 0
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in:
BURKE/MCDOWELL
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
, Taw &,s C A-3.hoyy
Date*
12/5/2022
Title*
owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage*
License Tag #*
Vehicle Identification #*
Tank Capacity*
Domestic
Septage
YA015177
2XKDDB9XTJM5O62690
3,600
Domestic
Septage
YA015141
1HTLDTVN2EHA26198
2,500
Domestic
Septage
YA110698
1XKDDR9X2XJB16808
3,600
Domestic
Septage
YA116359
1HTSDAAN61H360182
2,500
Domestic
Septage
YA152924
1GBM7H1C7XJ1O0738
2,500

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*
CATAWBA VALLEY POLLUTION CONTROL
FACILITY
CORPENING CREEK WWTP
Septage Land Application Sites (SLAS)
Yes • No
Septage Detention or Treatment Facility (SDTF)
Yes • No
Other disposal method*
Expiration Date* Authorization
12/31/2022 2022-12- 843.37...
05_142926.pdf
12/31 /2022 Document 202... 997.66...
12-
05_143018.pdf
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
1/27/2022 6
Location*
HICKORY METRO CENTER
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
'TC34q&73C Asho?'y
Date
12/5/2022
02:21:16 AM
Print Name* Title*
James C Asbury owner

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.
Eiisha. Self 1002187. Catawba Water Pollution Control Facility
I,
(Plant Operator in Responsible Charge (ORC), ORC License Number, game of Plant)
1000 Vine Arden Road/ P. Box 3448 Morganton, NC 28655
(Address)
828-438-5285 do hereby authorize dames Asbury
(Phone Number) (Owner/Operator of 5eptage Management Firm)
of Asbury Septic Tank Service 00262
NC5 #
(septage Management Firm Name and NCS number)
to dispose of: domestic septage x , portable toilet waste
grease septage (grease trap pumpIngs) corn ►nerciai/irid ustrial septage , from
Burke County
(County or other Geographic Area)
at the above named wastewater treatment facility. 5eptage shall be discharged at.:
Catawba River Water Pollution Facility
between the hours of 7:00AM- 7:00PM (Location)
Reintroducing partially treated liquid into a grease trap is acceptable Yes x No
This authorization shall be valid until December 31, 2023
(usually December 31, Year)
Signed
(Facility Operator)
scribed and affirmed before me this
{Notary Public)
jr"
Date 1 1-v1' 9.7
day of U- 20 2 Z
My Commission expires' d `�—� -.-=J —�
(OFFICIAL SEAL)
Note; Falsification of this document by the septage management firm shall fead to permit revocation.
5VSofid_WaSte/CLA/SC PTAGE/FORMS/201a Firm Application/WWTP Authorization Form 201E

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
Division} of Waste Management - Solid Waste Section
1640- Mail Service Center, Raleigh, NC 27699-1.646
Pee 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.
lTim Horton Z(]0$211 Con enin Creek WWTP
IPlant Operator in Responsible Charge (CRC), ORC license Number, Name of Plant)
PQ Drawer 700 Marion NC 28752
(Address)
828-652-8843 d❑ hereby authorize lames C. Asbury
(Phone Number) (Owner/Operator of Septage Management Firm)
of Asbury Septic dank Cleaning and Sackhoe Service Inc. NCS# 00262
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X ,
grease septage (grease trap pumpings)
McDowell Co
portable toilet waste
commercial/industrial septage , from
{County or otherGeographic Area}
at the above named wastewater treatment facility. Septage shall be discharged at:
Public Works Eacilit 94 Sh❑ Drive Marion N,C. 2$752
(Location)
between the hours of S:OQ Am throe h 5:00Prn Monday thru Friday Excludes Holidays)
Reintroducing partially treated liquid into a grease trap is acceptable Yes x No
This authorization shall be valid until December, 31 2023
[usually December 31, Year)
Signed Date
(Facility Operator)
Subscribed and affirmed before me this
��. day of 20 a3.
Y My Commission expires:.. S 1p �'r
(Notary Public)
Note: Falsification of this document by the septage management firm shall lead
5:/Solid_Waste/CiA/SEPTAGE/FORMS/2614 Firm Application/WWTP Authorization Farm 2014
,SoTAR D
errhit revocation,
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