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HomeMy WebLinkAboutNCS00310_2023Permit_Initial2023 Permit and Registration Pee Wee's Septic Tank Cleaning is hereby issued a Septage Management Firm Permit, STATE,, _ Permit Number NCS-00310 o and registered as a e:,e D 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. Town of Siler City WWTP, Siler City, NC 2. East Burlington WWTP, Burlington, NC 3. Mason Farm WWTP, Chapel Hill, 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 Digitally signed by Wm Perry Sugg Sugg 113:05 28-05''00'2 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* Pee Wee's Septic Tank Cleaning The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-00310 Enter the five digits following the NCS # Street address of office* Street Address 1830 ALMOND LANE Address Line 2 City State / Province / Region GRAHAM NC Postal / Zip Code Country 27253 USA County* Alamance Mailing address same as street address of office?* Yes • No Mailing Address* Street Address 1837 SWEPSONVILLE ROAD Address Line 2 City State / Province / Region GRAHAM NC Postal / Zip Code Country 27253 USA Phone* Fax 336-214-7967 Email* MHILL611@GMAIL.COM Owner Info Firm owner's name* WILLIAM MATTHEW HILL Mailing address same as street address of office?* Yes 0 No Mailing Address* Street Address 1837 SWEPSONVILLE ROAD Address Line 2 City State / Province / Region GRAHAM NC Postal / Zip Code Country 27253 USA Phone* Fax 336-214-7967 Operator Info Firm operator's name* Firm operator's title WILLIAM MATTHEW HILL OWNER/OPERATOR Mailing address same as street address of office?* Yes • No Mailing address* Street Address 1837 SWEPSONVILLE ROAD Address Line 2 City State / Province / Region GRAHAM NC Postal / Zip Code Country 27253 USA Phone* Fax 336-214-7967 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 130,000 Portable Toilet Waste 0 Grease (Restaurant) 40,000 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: ALAMANCE, ORANGE, CHATHAM Vehicle Info Do you plan to operate pumper vehicles?* 0 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 clt?1-16w it Date* 12/15/2022 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 PUMPNP00 3FEXF8014XMA17497 2,000 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* Expiration Date* Authorization EAST BURLINGTON WWTP 12/31/2023 202212151511... 1.05MB TOWN OF SILER CITY 12/31 /2023 202212151510... 963.66... Septage Land Application Sites (SLAS) Yes • No Septage Detention or Treatment Facility (SDTF) Yes •) No Other disposal method* Yes — No Septage Management Firm Operator Training Completed Date* Hours* 2/19/2022 4 Location* NC STATE FAIRGROUNDS RALEIGH Training Sponsored or Provided by* NC Pumper Group & NC Portable Toilet Group 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 Still have not received a discharge authorization for OWASA. As soon as they finally send it to me, I'll email it to be added. 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 12/15/2022 03:15:08 PM Print Name* Title* WILLIAM MATTHEW HILL OWNER/OPERATOR 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 27599-1646 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. Brittany York, 1007288, Town of Siler City (Plant operator in Responsible Charge (ORC), oRC License Number, Name of Plant) PO Box 769, Siler City, NC 27344 _ (Address) (919) 742-4581 _do hereby authorize (Phone Number) William Mathew Hill (Owner/Operator of Septage Management Firm) of Pee Wee's Septic Tank Cleaning _ NCS 4 00310 (Septage Management Firm Name and NCS number) to dispose of: domestic septage X portable toilet waste X grease septage (grease trap pumpings) No commercial/industrial septage No from Chatham County (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Headworks (Location between the hours of Mon - Fri 7.00 am - 4: 0 pm Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until Dec. 31 , 2023 (Usually December 31, Year) Signed Date (Facility Operator) Subscribed and affirmed before me this [ }' ' day o 20 My Commission expires: (Notary Public) �?'k- C � •��1isSi0ry • C� a '�4BLIG Note: Falsification of this document by the septage management firm shall lead top i c; raal" .� Uwe S:/Solid Waste/CLA/SEPTAGE/FORMS/2a18 Firm Application/WWTP Authorization Form 2018 fI� ❑V Nam[ AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environment and Natural Resources Division of Waste Management - Solid Waste Section 401 Oberlin Rd., Ste. 150, Raleigh, N.C. 27605 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. I, Darrin Allred Chief Operator of the East Burlington Wastewater Treatment Plant (Plant Operator and Name of Plant) 225 Stone Quarry Rd„ Burlington, NC 27217 (Address) 336 ] 578-0515 do hereby authorize William M Hill (Phone Number) (DwneriOperator of Septage Management Firm) Of Pee Wee's Septic Tank Cleaninq NCS 4 S00310 (Septage Management Firm Name and NCS number) to dispose of: domestic septage x , portable toilet waste NIA grease Septage (grease trap pumpings) NIA commerciallindustrial Septage N/A from Alamance County Only at the above named wastewater treatment facility. (County or other Geographic Area) Septage shall be discharged at: The_ Influent Septage dump pit of the East Burlington Wastewater Treatment Plant. (Location) between the hours of &00--11:30 am / 12:00 - 5:00 om Monday - Saturday Reintroducing partially treated liquid into a grease trap is acceptable Yes x No T7'uthorization, shall be valid until December 31, 2023 (Usually December 31, Year) Signed Date - 2-,'? - 2 (Facility Operat r) Sworn to and subscribed before me this day of .20 Ili, C My Commission expires: 2-`i - ? (Notary Public) ytiiy C. r V � (❑ 1 n PUBLIC t, Note: Falsification of this document by the septage management firm shall lead to permit revocation. co H CLAIF0RMSI2009 Firm AppiicationNVVVTPAutho6zationForm2010 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. Travis Rich, Certification #999730, OWASA-Masan Farm WWTP (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 170 Old Mason Farm Rd, Chapel Hill, NC 27517 (Address) 919-537-4354 do hereby authorize William Matthew Hill (Phone Number) (Owner/Operator of Septage Management Firm) of Pee Wee's Septic Tank Cleaning NCS # 00310 (septage Management Firm Name and NCS number) to dispose of: domestic septage X portable toilet waste N/A grease septage )grease trap pumpings) N/A commercial/industrial septage N/A from ❑range and surrounding counties (County or other Geographic Area) at the above named wastewater treatment facility. septage shall be discharged at: 170 Old Mason Farm Rd, Chapel Hill NC (Location) between the hours of Monday -Friday 08:OOAM-4:00 PM 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 _ f �r:.c-:.. — -f Gs�.0 Date Z / 7 7- 2 C (Facility Operator) ff i� Subscribed and affirmed before me this 1 day of LkCCWbV , 20 a �-, My Commission expires (Notary Public) 11- a3 --1aji-s KELLY H. BELCHER (OFFICIAL SEAL) Notary Public, North Carolina Alamance County My Commission Eypires 14'4— - Note: Falsification of this document by the septage management firm shall lead to permit revocation. 5:/Solld_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Farm 2018