NCS00623_2023Permit_Initial

2023
Permit and Registration
Cape Fear Pumping Inc
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00623
o and registered as a
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-�� Septage Management Firm�� �� w� ��nffii�utr
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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, 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. Cross Creek WRF/Rockfish Creek WRF, Fayetteville, 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
Sugg
Digitally signed by
Wm Perry Sugg
Date: 2023.02.16
10:30:15-05'00'
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 ama as it is shown on your vehicle(s)).
Street address of office:
City: V i
Mailing a dress (if different):
City:._ u i _ _ State: N _ Zip , f
Phone:_ _q Fax:
E-Mail:
County: Septage Management Firm permit number. NCS # .2�s
(2.) Firm owner's name:a
(3.)
Mailing address (if different):
City: ll State: — _ Zip -
Phone: _q to - 40-— 1.26) (--Fax:-
Firm operators name: � c7ti"Firm operator's title:
Mailing address (if different):
City: - -
State: Zip:
Phone: Fax:
z�oWn(2r—
(4.) Type(s) of septage pumped: Write in the number ofgal(ons numoed in last 12 months (Example: Domestic: 50,000
Domestic
(6.)
Portable Toilet Waste
f Grease (Restaurant)
Treatment Plant Industrial/Commercial
d
Total Number of Pumper Vehicles Operated:
Number used for. Domestic Septage:----Grease (restaurant):
Other Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
License Tag #
Vehicle Identification #
Tank Capacity
1
�db
2
_
3
5
APPLICATION CONTINUED ON PAGE 2
QOr:F 1
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Page 1 of 2

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) (,/) 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 letterin
as required by 15A NCAC .0835(b). Furthermore, I also certify that a log is maintained of each septage pumping event
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? (Y) yes ( ) no Initial Date
(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 the Septage Management Rules.
https://edocs.deq.nc.gov/WasteManagement/DocView.aspx?id=1485715&dbid=0&repo=WasteManagement 10/21/22, 7:35 PM
Page 2 of 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, N.C. 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, Scott McCoy #24382 Cross Creek WRF / Rockfish Creek WRF
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
P.O. Box 1089 Fayetteville. NC 28302-1089
(Address)
[phone] do hereby authorize Scott AutrV
(Phone Number) (Owner/Operator of Septage Management Firm)
of Cape Fear Pumping NCS# 00623
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X , portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage .. , from
Cumberland & surrounding counties
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Facility Influent Pump Station
(Location)
between the hours of Sunrise to Sunset
Reintroducing -partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until December 31, 2023
Signed Date
(Fwili(y Operator)
Subscribed and affirmed before me this day of 20A��4e �-
y' • My Commission expires:
(Notary Public)
Zi
TH
Note: Falsification of this document by the septage management firm shall lead to permit revocation.: • G : Z
S:lSolid_Waste/CLAISEPTAGEIFORMS12023 Firm Application/WWTP Authorization Form 2023 �g�• •••

NC SEPTAGE MANAGEMENT FIRM
Recertification of Pumper Vehicle(s)
Septage Firm Permit #: NCS- (�-A
Number of Pumper Vehicles:
CERTIFICATION:
" I certify, under penalty of law, that the pumper vehicle or vehicles listed in the
submitted permit application meet the requirements for safe and sanitary
transportation of septage as required by15A NCAC 13B .0844 (a) and vehicle
lettering as required by 15A NCAC 13B .0844 (b). I also certify that a log is
maintained of each septage pumping event as required by 15A NCAC 13B .0839
(a). 1 am aware that there are significant penalties for false certification including
the possibility of fine and imprisonment."
Signature (Signairrre of com ny )
�Ca (.t�r
Print Name
Date —
Title
S:1Solid WastelclalseptagelfotmslPumper vehicles Cetification.doc