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HomeMy WebLinkAboutNCS01456_2023Permit_Initial2023 Permit and Registration Straight Flush Septic is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-01456 oand registered as a e:,e D NORTH CAROLINA EQ�J -�� Septage Management Firm awnen� f� wrnmenta�lty 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. Rocky River WWTP, Concord, NC 2. Archie-Elledge WWTP, Winston-Salem, NC 3. Lexington Regional WWTP, Lexington, 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. g',,� 12/15/2022 Perry Sugg, En onmental 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* Straight Flush Septic The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01456 Enter the five digits following the NCS # Street address of office* Street Address 1959 N Peace Haven Rd. Address Line 2 Suite 171 City State / Province / Region Winston Salem NC Postal / Zip Code Country 27106 United States County* Forsyth Mailing address same as street address of office?* • Yes No Phone* Fax 3369700502 Email* info@straightflushseptic.com Owner Info Firm owner's name* David Welch and Kathy Welch Mailing address same as street address of office?* Yes • No Mailing Address* Street Address 957 Kenleigh Circle Address Line 2 City Winston Salem Postal / Zip Code 27106 State / Province / Region NC Country United States Phone* Fax 336-970-0502 Operator Info Firm operator's name* Firm operator's title David Welch and Kathy Welch Managing Members Mailing address same as street address of office?* Yes • No Mailing address* Street Address 957 Kenleigh Circle Address Line 2 City State / Province / Region Winston-Salem NC Postal / Zip Code Country 27106 United States Phone* Fax 336-970-0502 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 550,000 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: * Forsyth, Surry, Stokes, Davidson, Davie, Rowan Cabarrus, Iredell, Mecklenburg, Yadkin, Guilford 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* 11/8/2022 Title* Managing Members Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage YA1461771 1HTMMAAN2BH323656 2,000 Domestic Septage JK-2732 JALC41314737013711 1,000 Domestic Septage KH6577 5PVNJ8AV9M5T51171 1,400 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 Wastwater Facility Rocky RIver Regional Wastewater Treatment Plant Lexington Regional WWTP 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 Authorization 971.41... from WS.pdf 12/31/2023 Authorization 67.02KB from Concord Dump.pdf 12/31/2022 Septage Management Firm Operator Training Completed Date* Hours* 3/17/2022 6 Location* Clemmons, 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 I do not have the authorization to discharge yet from the lexington WWTP. They need the permit from the state before they will issue it. I will update the application after 1 receive the initial permit and take it to lexington, Also, 1 discussed with Chester Cobb earlier in the year. I'm adding my wife as 3oint managing member in case something should happen to me so the operation can continue. She has signed but there was no room for her info 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 11/8/2022 09:49:31 AM Print Name* David Welch and Kathy Welch Title* Managing Members 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, NC27699-1646 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, James Christian Sims, #999309, Rocky River Regional Wastewater Treatment Plant (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 6400 Breezy Lane, Concord, North Carolina 28025 704-788-4164, x114 do hereby authorize David Welch (336-970-0502) (Phone Number) (Owner/Operator of Septage Management Firm) of Fresh and Clean LLC, dba Straight Flush Septic (formerly Eagle Septic Pumping) NCS # 01456 (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 Cabarrus and surrounding counties. (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: 6400 Breezy Lane, Concord, NC 28025 (Location) between the hours of 7AM and 7PM Monday -Saturday: Sunday upon request. Reintroducing partially treated liquid into a grease trap is acceptable Yes V No This authorization shall be valid until December 31 2023 (Usually December 31, Year) Signed Date October 18, 2022 James Christian Sims, Facility ORC S cribed and affirmed before rVethis u—C36 - Angela Hill, Notary Public 18th day of October , 20 22 My Commission expires: May 15, 2025 °0��?��'K..H� �B\- v; Note: Falsification of this document by the septage management firm shall lead to permit revocation. S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018 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 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, Matthew Lavigne- WW#997822 - Archie Elled a Wastewater Facility (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 2801 Griffith Rd. Winston-Salem NC 27103 (Address) 336-765-0130 do hereby authorize David Welch (Phone Number) (Owner/OperatorofSeptage Management Firm) of Straight Flush (Septage Management Firm Name and NCS number) to dispose of: domestic septage X , portable toilet waste NCS # 01456 grease septage (grease trap pumpings) NO commercial/industrial septage �—. from Winston-Salem Fors th County and Adiacent Counties (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Archie Elled a Wastewater Facility (Location) between the hours of 6:00 am until 6:00 pm Monday Through Saturday 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 (Facik7 ❑perator) Subscribed and affirmed before me this 3 C-CIR day of .20 ��..' A. � t►u-- My Commission expires: (Notary Pubiic) MARY G. BROWN Notary Public, North Carolina (OFFICIAL SEAL) Y: Forsyth County My Commission Expires Note: Falsification of this document by the septage management firm shall lead to permit revocation. 515arid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018 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. (Plant operator in Responsible Charge (ORC), (Address) it 0 `1c k W V1' License NumbW, Name of Plant) 4,,L- S. L-r—' �33 j(;2- Vo- j 6 01do hereby authorize V �"jtine, (Phone Number)S�. ��, ZT F�(Owner/Operator of septage Management Firm) of Name and NCS number) to dispose of: domestic septage , portable toilet waste �9930� Ww3 t4 c- AZWi )�- grease septage (grease trap pumpings] commercial industrial septage , from (County or oth6J Geographic Ares) at the above named wastewater treatment facility. Septage shall be discharged at: O'rX8 (Location) 11-3 between the hours of k,."- - 1? c) A S1' Reintroducing partially treated liquid into a grease trap is acceptable Yes No This authorization shall be valid until 1�1311 2023 (Usually December 31, Year) Signed ' �^-�'CLOA pate f 2� (Facility Operator) 1 Subscribed and affirmed before me this 6 _ day of NOJW� 20 My Commission expires: V"I -a SU`3—� [Notary Public) Jamie Freeman OFFICIAL SEAL] Notary Public Davidson County; NG Note; Falsification of this document by the septage management firm shall lead to permit revocation, S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/wwTP Authorization Form 2018