NCS00045_2023Permit_Initial

2023
Permit and Registration
Porter's Septic Service
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00045
oand registered as a
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, 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 Creek WWTP, East Spencer, NC
2. Rocky River Regional WWTP, Concord, 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.
Wrn Perry
Sugg
Digitally signed by
Wm Perry Sugg
Date: 2023.02.02
11:40:50-05'00'
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION —1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The "Firm name" must be exactly as it is shown on your vehicle(s)).
Street address of office: QC 1/4 ,i 11ALa-A
` t
City:-. t1--- FRGx, &ae z e
Mailing address (if different):
City:
f
State: Zip
E-Mail:
County: wa"Yil Septage
(2.) Firm owner's name: /�_. /4
Mailing address (if different):
City:
WIFZ�
State:
Firm permit number: NCS # d O
Zip
(3.) Firm operator's name: / Firm operator's title: 4w z w
Mailing address (if different): �
City: State: Zip:
Phone: Fax:
(4.) Type(s) of septage pumped: Write in the number of gallons pumped in last 12 months (Example: Domestic: 50,000).
Domestic I Portable Toilet Waste
0
(5.) N.C. Countgp of
reatment
,O&w ,u. -�! ill , av� .jraA,1 1% E',,
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: I
Number used for: Domestic Septage: t Grease (restaurant):
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
mercial
License Tag #
Vehicle Identification #
Tank Capacity
1
rA
2
3
4
5
APPLICATION CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
MR
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) (X) yes ( ) no.
If you checked yes above, you must attest to the following statement before a permit may be issued.
"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 are significant penalties for false certification including the
possibility of fine and imprisonment."
Do you attest to the statement above? �() yes ( ) no Initial /;%% to Date G
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: () yes ( ) no. If yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0834(c)(14) of theSeptage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#: Expiration Date: SLAS#: Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: Expiration Date: SDTF#: Expiration Date: _
(9.) Septage Management Firm Operator Training Completed: /
Date: 20 z k Location: /� Ze1 X - /(Z6 Hours:
11
Training Sponsored or Provided by: d _
(10.) Septage Land Application Site Operator Training Completed:
Date: Location:
Training Sponsored or Provided by:
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours:
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.
ignatu (Srgna companyofficial required)
Pri Na
Other Comments:
Date
Title
Rev. 04-26-2021
PAGE 2

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.
Charles Wood of Town Creek WWTP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
704-638-5377
(Phone Number)
of
850 Heil_igtown Rd, East Spencer, NC 28039
(Address)
do hereby authorize Buddy R. Porter
(owner/operator of septage Management Firm)
Porter's Septic Service
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage Yes , portable toilet waste Yes
NCS #1 00045
grease septage (grease trap pumpings) No commercial/industriai septage No , from
ROWAN COUNTY ONLY
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Town Creek WWTP - Influent Installation
(Location)
between the hours of Sam to 4pm Monday -Friday, excluding City observed holidays
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 �n . �1G�— _ Date
{Faril+ty� or)
tbscri edand affirmed efor this day of 20 C
My Commission expires: k�7
(Notary Public)
Note: Falsification of this document by the septage management firm shall lead to pern
5:/Sollti—Wa$te/CLA/SEPTAGE/FORMS/2018 F1rM AppllCation/WWTP AUrhodzatlon FoeM 2019

, 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
(Address)
704-788-4164. x114 do hereby authorize Buddy P Porter J04-857-4604; .
(Phone Number) (Owner/Operator of Septage Management Firm)
of Porter's Septic Service NCS # 00045
(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 /2- -- _ Date October 18. 2022
James Christian Sims, Facility ORC
Sub cribed and affirmed beforsimethis
Angela Hill, N ry Public
18th
day of October 120 22
My Commission expires: May 15. 2025
(OF- i
K.
®� .2
a• •oU \,�V
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S./Solid Waste/CWSEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018