NCS00219_2023Permit_Initial

2023
Permit and Registration
Calvin's Septic Cleaning Service
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00219
and registered as a
D
e:,e
NORTHSeptage Management Firm�� �� w� ��nffi��Ity
A%L i2. ��
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, Tide 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. Tar River Regional WWTP, Rocky Mount, 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 Date: 2023.02.16
10*24:32 -0YOU
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*
Calvin's Septic Cleaning Service
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00219
Enter the five digits following the NCS #
Street address of office*
Street Address
68 November Lane
Address Line 2
City
State / Province / Region
Enfield
NC
Postal / Zip Code
Country
27823
United States
County*
Halifax
Mailing address same as street address of office?*
Yes • No
Mailing Address*
Street Address
P.O. Box 144
Address Line 2
City
State / Province / Region
Enfield
NC
Postal / Zip Code
Country
27823
United States
Phone*
Fax
2524454376
Email*
[e-mail]
Owner Info
Firm owner's name*
Calvin Arrington
Mailing address same as street address of office?*
Yes 0 No

Mailing Address*
Street Address
P.O. Box 144
Address Line 2
City
Enfield
Postal / Zip Code
27823
Phone*
2524454376
Operator Info
State / Province / Region
North Carolina
Country
United States
Fax
Firm operator's name*
Firm operator's title
Calvin Arrington
Owner
Mailing address same as street address of office?*
Yes • No
Mailing address*
Street Address
P.O. Box 144
Address Line 2
City
State / Province / Region
Enfield
North Carolina
Postal / Zip Code
Country
27823
United States
Phone*
Fax
2524454376
Type and amount of septage pumped
in the last 12 months
Amount in gallons*
Domestic
72,000
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: *
Halifax, Nash, Edgecombe, Warren, Wilson
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
Date*
12/11/2022
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 CD9631 1FDNF70H2JVA23847 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*
Cityof Rocky Mount
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
Septage Management Firm Operator Training Completed
Date* Hours*
10/19/2022 4

Location*
Greensboro, North Carolina
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
a4iw 6--7-ztn;V'
Date
12/11/2022
08:42:25 PM
Print Name*
Calvin Arrington
Title*
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 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 t the
incoming wastewater str [- %
6
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name PfPlant)
(Address) j� f
do hereby authorize C'�`y t
_ )+ l K - ' `' ►"
(Phone Number)
of
(Owner/Operator of Septage Management Firm)
(Septage Management Firm(Name and NCS number)
to dispose of: domestic septage /// portable toilet waste
grease septage (grJea�a trap pumpings) commercial/in ustrial septage from
r
County or other Geographic Area)
at the above named wastewater treal4pent facil' . Se tage shall be discharged at•
_ (Location)
between the hours of p _
Reintroducing partially treated liquid into a grease trap isacceptableYes
This authorization shall be valid until �I. �/ 2-M-3
Signed
(Facility Operator)
Subscribed and affirmed before me this
�_Q'�L.11' A."
(Notary Public)
/No
(Usually December 31, Year)
Date ,
OEE
dayCe, , s29 2,3
Z C�
My Commission expires;'.`
(OFFICIAL SEAL)
RECEIVED
Note: falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Appliration/wwrP Authorization Form 2018 FEB U n p A 2023
SOLID WASTE SECTION