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Home My WebLink AboutNCS00364_2023Permit_Initial2023 Permit and Registration David Sumner Pumping Service is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00364 o and registered as a e:,e D NORTH EQ %L 12. 9* -�� Septage Management Firm�� w� ��nffii�utr E,%r Q'M 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. City of High Point Eastside WWTP, Jamestown, NC 2. City of Asheboro WWTP, Randleman, 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. W M Digitally signed by Wm Perry Perry Sugg Sugg Date: 2023.02.02 13:08:43-05-00' 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* David Sumner Pumping Service The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-00364 Enter the five digits following the NCS # Street address of office* Street Address 3141 Sumner Road Address Line 2 City State / Province / Region Trinity NC Postal / Zip Code Country 27370 Randolph County* Randolph Mailing address same as street address of office?* • Yes No Phone* Fax 336-434-6241 Email* dsumner0l@gmail.com Owner Info Firm owner's name* David Sumner Mailing address same as street address of office?* • Yes No Phone* Fax 336-434-6241 Operator Info Firm operator's name* Firm operator's title David Sumner Owner Mailing address same as street address of office?* 0 Yes No Phone* Fax 336-434-6241 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 250,000 Portable Toilet Waste 0 Grease (Restaurant) 25,000 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: * Randolph, Davidson, Guilford, Forsyth 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* 12/7/2022 Title* Owner Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage YA122972 2HTAA1953DCA15408 2,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Approved wastewater treatment plant* 0 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* City of High Point East Side City of Asheboro Septage Land Application Sites (SLAS) Yes • No Septage Detention or Treatment Facility (SDTF) Yes • No Other disposal method* Yes • No Expiration Date* Authorization 12/31/2023 City of High 503.3KB Point.pdf 12/31/2023 City of 552.59... Asheboro.pdf Septage Management Firm Operator Training Completed^ Date* Hours* 1/28/2022 4 Location* Hickory, 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 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 Date 12/7/2022 10:53:22 AM Print Name* Title* David Sumner Owner AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environment and Natura# Resources 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. I, Michael R. Wiseman, ORC, WW4#987680, City of Asheboro Wastewater Treatment Plant (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 1032 Bonkemeyer Drive, Randleman, NC2731.7_ (Address) 336-672-0892 d❑ hereby authorize David Sumner (Phone Number) (Owner/Operator of 5eptage Management Firm) of David Sumner Pumping Service NCS# 00634 (5eptage Management Firm Name and NC5 number) to dispose of: domestic septage X portable toilet waste grease septage (grease trap pumpings) X Commercial/industrial septage , from Randolph Cou (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: 1032 Bonkemever Drive. Randleman. NC 27317 (Location) between the hours of 7:00 a.m. to 5:00 p.m. Monday - Friday Only 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 .� �ti � .� a Date /U'/41' 2__ (Facility Operator) Subscribed and affirmed before me this 1� day of lC_oV.N� 2-0 My Commission expires: �V�S (N try Public) '��lllilllll��*r [� a (OFFICIA��) •p = 3 �ozARr V pUsoG 2 Note: Falsification of this document by the septage management firm shall lead to permit revocafik S:/Solid_Waste/CLA/SEPTAGE/FORMS/2019 Firm Application/WWTP Authorization Form 2019 �f� � • 4 PH 10 ] ,% +'1'11it1110 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. I, John Thomas. Certification # 1000478, City of High Point Eastside WWTP (Plant operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 336-822-4730 5898 Riverdale Drive. Jamestown do hereby authorize (Address) David Sumner (Phone Number) (Owner/Operator of Septage Management Firm) of David Sumner Septic Tank Pumping NCS # 00364 (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 Guilford, Randolph, Davidson (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Eastside WWTP Septage Receiving Station (Location) between the hours of 7:00 AM - 5:00 PM Monday - Sunday Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until December 31, 2023 (Usualky December 31, Year) Signed k�"— ] �� •� Date (Facility Operator) Subsc ibed and affirmed before me this day of —ell 20 2 '., r �lI'Ile �� My Commission expires: r s� y t -� (Nct7ry Public) `G �s, I I `(DF,FrCIAL SEAL) �,QTAI��- 0 OUB L\G C3 Note: Falsification of this document by the septage management firm shall lead to perr!V7tevocation. �� S:/Solid_ Waste/CLA/SEPTAGE/FCRM5/2018 Firm Application/WWTP Authorization Form 2018 �`"j10At NCO` \A