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Home My WebLink AboutNCS00307_2023Permit_Initial2023 Permit and Registration Kendrick's Sanitation Services is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00307 o and registered as a e:,e D NORTH EQ i2. �� -�� Septage Management Firm�� w� ��nffii�utr 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. City of Roxboro WWTP, Roxboro, 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. Wm Perry Sugg Digitally signed by Wm Perry Sugg Date: 2023.02.02 12:33:12-05'00' Perry Sugg, Environmental Compliance Branch Head User Task https://wv2dnlsthapO2. eapps.ncads.net/Forms/form/aysubmission?Re... State of North Carolina Application for Permit to Operate a Environmental Quality Waste Management Se pta g e Management Firm 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* Kendrick Sanitation Service The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-00307 Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX) Street address of office* Street Address 3637 Durham Road Address Line 2 City State / Province / Region Roxboro NC Postal / Zip Code Country 27573 United States County* Person Mailing address same as street address of office?* Yes No Phone* Fax 336-599-9736 Email * kendricksofroxboro@yahoo.com Owner Info Firm owner's name* Chad Maynard Kendrick 1 of 5 1/3/2023, 2:08 PM User Task https://wv2dnlsthapO2. eapps.ncads.net/Forms/form/aysubmission?Re... Mailing address same as street address of office?* Yes No Phone * 336-504-0533 [Operator Info Firm operator's name* Chad Maynard Kendrick Mailing address same as street address of office?* Yes No Phone * 336-504-0533 Fax Firm operator's title owner Fax Type and amount of septage pumped in the last 12 months Amount in gallons* Domn'esttiic 382,300 Porttalblle Toiillett Waste 15,200 Grease (Restaurant) 0 Treatment Plant 0 II mnd usttiriia II//comrn mrneirciia II 0 North Carolina counties of operation List each county you plan to do business in: * Person, Caswell, Durham, Orange, Granville 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)). 2 of 5 1/3/2023, 2:08 PM User Task https://wv2dnlsthapO2. eapps.ncads.net/Forms/form/aysubmission?Re... 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 * 12/27/2022 Title* owner Choose how to add vehicle descriptions* QQ Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Portable Toilet Waste YA144264 Domestic Septage FA3984 Vehicle Identification #* Tank Capacity* 1HTSDAAN25H688152 1,000 3FDMF65Y63MB09352 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* Expiration Date* Authorization * 3 of 5 1/3/2023, 2:08 PM User Task https://wv2dnlsthapO2. eapps.ncads.net/Forms/form/aysubmission?Re... Roxboro Wastewater Treatment Plant Septage Land Application Sites (SLAS) Yes No Septage Detention or Treatment Facility (SDTF) Yes No Other disposal method Yes No 12/31/2023 001.tif 32.46... Septage Management Firm Operator Training Completed Date * Hours* 9/8/2022 4 Location * Washington, NC 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 Q Registered Portable Sanitation and Septage Management Firm r � Comments and Notes Comments or notes 4 of 5 1/3/2023, 2:08 PM User Task https://wv2dnlsfhap02. eapps.ncads.net/Forms/form/aysubmission?Re... 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 12/27/2022 03:01 :13 PM Print Name Chad M Kendrick Title* Owner 5 of 5 1/3/2023, 2:08 PM 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. Derek Clayton, ORC #9264 for the City of Roxboro VV VrP (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 902 Cavel-Chub Lake Rd. Roxboro NC 27574 (NC0021024) (Address) 336 59g 8232 do hereby authorize Chad Kendrick (Phone Number) (Owner/Operator of Septage Management Firm) of NCS # (Septage Management Firm Name and NCS number) to dispose of: domestic Septage _ YES portable toilet waste YES grease septage (grease trap pumpings) NO commercial/industrial septage NO from Person County NC (only!) Domestic Septage (Only!) - (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Septic Dumping Station at the head of the Roxboro WWTP located at 902 Cavel-Chub Lake Rd. (Location) between the hours of 630arrp-tt'"0am&1730pm-6pm(laierbypermission only) Reintroducing partially treated liquid into a grease trap is acceptable Yes x No This authorization shall be valid until December 31, 2023 (Usually oecember 31, Year) Signed �_ �—A—, (e"t— _ Date (Facility Operat r) Subscribed and affirmed before me this e¢s day of j2E9,20 My Commission expires- r p APXD y (Notary Public) � k n ' �(�+• ` :(P eLIG Note: Falsification of this document by the septage management firm shall lead X4,rL�y'�t rer S:/Solid_Waste/CWSEPTAGF/FORMS/2618 Firm Application/WWTP Authorization Form 2018 �i�—v[f ��!lfilil{l\ aozu Mr. Chad Kendrick Kendrick's Sanitation Service NCS #! 00307 Date: 12/6/2022 Dear Mr. Kendrick Your current authorization to discharge septage to the Roxboro Wastewater Treatment Plant allows for domestic portable toilet waste from Person County NC only. Because You have paid an additional fee you are also authorized to bring portable toilet waste from Person County NC and the four NC counties that border it. Caswell Granville Orange Durham This modification to your authorization to discharge is for portable toilet waste only. No other waste will be accepted from outside of Person County NC. If you have any questions please call me at 336-599-8232. Sincerely, Derek Clayton WWTP Supt. City of Roxboro R r r n n ev 0 �? d v rn � r '1 R� n n vC Y -G r I r� n n �n o 0 �• r� po r� n rr � rf O � Oil-�. •� /fir e 1 r ROy �s FTo.• � row• ' Subject. TheN.C, Divi s�or w,rh 170A.29, JOOVIIto operalepria receive apetnn4 every eompletedRpPlicate e& Zrequirer BOTflthe cumN 2022petmit 7{Irapplicaaonma al the Genera/Slatrtr~ 7� feepRTentAVDa completer mti! fee can also be paid EMEW "aadmalleo'Whyw, en4 afee ofS2S,00 wi/l&. cl _ _ �yourfee paymen! wi/lbeconsidered/ete AI/applicalionmaterialshive brenmade completed and subm/tted eleclronica//y onl online app/iealionsystem, MaslLrpnnted, r A .4dra,1111A eV DirisionofWa eMaasgeme Sv/id Waslesxz7 117 lewMOSe vkeCmtei Raleig/� NC276S� I646. Ta assist you in completing the pmprr forms Fir have hired,* im authorized bythcrWes,