NCS00636_2023Permit_Initial

2023
Permit and Registration
East Coast Resources
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-00636
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. Septage Detention or Treatment Facility, SDTF-19-02
2. Septage Land Application Site, SLAS-19-02
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
December31, 2023. Digitally signed by
Wm PerrywmPerrySugg
Sugg 110:3100-050'006
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: (Tire "Firm name" inust be exac8v as it is shown on your vehicle(s).
Street address of office: _
City: Ve Lv
State: / � _ Zip: 2:2 5-6 2
Mailing address (if different): L
City:U ltd►k-1
State: jL�Zip:
Phone: - 7 S
Fax:
E-Mail: GGir' W�
y o
Coun G�
ty:
Septage Management Firm permit number: NCS #
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(2.) Firm owner's name:
Mailing address (if different):
Z w
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a¢
City:
Stag_ Zip:
Phone:
6VcT11 j-e P
Fax:
&`a fL Firm operator's title:
(3.) Firm operator's name:
WAe
Mailing address (if different):
City:
State: Zip:
Phone:
Fax:
(4.) Type(s) of septage pumped: Write in the number of gallons pumped in 20-=_ (Example: Domestic: 50,000).
i Domestic
Portable Toilet Waste I Grease (RE
Treatment Plant I Industrial/Commercial
(5.) N.C. Counties of Operation: =± Ph-5 L
y � 7 r. l r- 41 - - -
(List each county you do business in)
(6.) 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
1-3
EAIU 'r- V Z4 0 23 30
a 10U
2
3
1
4
5
APPLICATION CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( ) yes ( v--fno. If yes, submit Wastewater Treatment Authorization
for each plant, as indicated in Subparagraph .0833(c)(14) of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#: U Expiration Date: U- 0,2 AS#: Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#C- -b GL Expiration Date-0-11-20 SDTF# Expiration Date:
(8.) Septage Management Firm Operator Training Completed:
Date: -I& b U a'A Location: A14
Training Sponsored or Provided by: AJ, G 4,1, '
(9.) Septage Land Application Site Operator Training C
Date-1 h — In I Location:
Training Sponsored or Provided by:
(10.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
_1Z
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours:_
Hours: 4-
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 (Signature of company official required) Date p
pe
Print Name Title
Other Comments:
SJSofid waste: CLAISEPTAGFJFORMSl2018 Fumm AppkaliWFirmPerrn1Appkation2018
PAGE 2

NC SEPTAGE MANAGEMENT FIRM
Recertification of Pumper Vehicle(s)
Septage Firm Permit #: NCS- b
Number of Pumper Vehicles: 31
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). I am aware that there are significant penalties for false certification including
the possibility of fine and imprisonment."
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S:%Sot Wastgclalsepgg9Womn%Pumper Vehicles Cetificaiion.doc