NCS00512_2023Permit_Initial

2023
Permit and Registration
Jetco Pumping Service
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-00512
o and registered as a
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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. Archie Elledge WWTP, Winston-Salem, NC
2. Septage Detention or Treatment Facility, SDTF-34-06
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. Digitally signed
Wm Perry by Wm Perry
Sugg
Sugg Date: 2023.02.02
13:14:39-05'00'
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*
Jetco Pumping Service
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00512
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
128 Forest Drive
Address Line 2
City
State / Province / Region
Advance
North Carolina
Postal / Zip Code
Country
27006
USA
County*
Davie
Mailing address same as street address of office?*
Yes • No
Mailing Address*
Street Address
Post Office 1322
Address Line 2
City
State / Province / Region
Rural Hall
North Carolina
Postal / Zip Code
Country
27045
USA
Phone* Fax
3363456024
Email*
[e-mail]
Owner Info
Firm owner's name*
Kevin Redmond
Mailing address same as street address of office?*
• Yes No
Phone* Fax
3363456024 ---

Operator Info ^�
Firm operator's name* Firm operator's title
Kevin Redmond President
Mailing address same as street address of office?*
• Yes No
Phone* Fax
3363456024 ----
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 275,000
Portable Toilet Waste 0
Grease (Restaurant) 300,000
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Forsyth,Stokes,Surry,Guilford,Davie
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
A-- —4—Q
Date*
1/1/2023
Title*
President
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*

Grease (restaurant) YA84348 2FZHAWDC64AN58696 3,000
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*
Archie Elledge Waste Water Plant
Septage Land Application Sites (SLAS)
Yes • No
Septage Detention or Treatment Facility (SDTF)
Yes • No
Other disposal method*
• Yes No
Description *
Liquid Environmental Solutions
Expiration Date* Authorization *
12/31/2023 36FOBED4- 2.14MB
2F4F-492B-
9572-
02A122746E40...
Authorization *
image.jpg 2.26MB
Septage Management Firm Operator Training Completed
Date* Hours*
8/13/2022 4
Location*
Morganton
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
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
05:19:28 AM
Print Name* Title*
Kevin Redmond President

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
Division of Waste Management - Solid Waste Section
1646 Mai! Service Center.; Raleigh, NC 27699-1646
Fee assessments and wash determinations will be required at the discrebon of the wastewater
treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incoming wastewater stream.
Matthew Lavignp-- WW#997822-Archie Elled;ze Wastewater Facilitv
(Plant operator in Responsible Charge (ORC), SRC License Number, Name of Plant)
2801 Griffith Rd. Winston-Salem, NC 27103
(Address)
336-765-0130 do hereby authorize Kevin Redmond
(Phone Numbers (owner/operator of Septage Management Firm)
of Jetco Pumr)in
Service _ NCS # 00512
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage x portable toilet waste x "I*
grease septage (grease trap pumpings) NO commercial/industrial septage ,from
Winston-Salem/Fors
h Countv and Adiacent Counties
(County or other Geographic Area)
at the agave named wastewater treatment facility. Septage shall be discharged at:
Archie Elledge Wastewater Facilit
(Location)
between the hours of 6:00 am until 6:00 pm Mondav Throuph Saturda
Reintroduci*n:g partially treated liquidinto a grease trap is acceptable
Yes 4 X No
This authorization shall be valid until December 31.2023
(Usually December 31, Year)
Signed
.0
(Facily'flOperator)
MI
wpm 000MOMM
Date
/05- 20-
Subscribed and affirmed before me this day of_o, 20 11.�IL
(Notary Public)
Al
My Commission expires:
NilARY G. BROWN
Notary Public, North, CarolIns
Forsyth County
My C mml 37slon Expires
r3
Note: falsification of this document by the septage management Firm shall lead t
Si/Solid,,-,Waste/CWSEPTAGE/FORNIS/2018 Firm App11cjtion/WWTP Authorization Form 2018
3I y-i I
a-1
(OFFICIAL SEAL)
o permit revocation.
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Cfeca. Reliable, Innovative.
10 011MAO Line Winston lalem, NC
Phone: [phone] fax: [phone]
Company Came; Jetco Sentic tank company
Company Address:
Driver Name.
Truck Number:
Load Accepted:
Notes:
E.a.l.-Hall. N.0 27045
Yes °1'�
Samples Taken Before Discharge:
Taken During Discharge.
Sampfe Taken End of Discharge:
Time Discharge Started:
No
Yes �, No
Yes Na
Yes � No
Time Discharge Completed: 6L4a
Gallons Descha
CRR Operator:
Operator`s Sigi
RECEIP
Date: 1
Receipt
Driver"s Signature:
._._. _ Phone: [phone]. Email [e-mail]