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NCS00667_2023Permit_Initial
2023 Permit and Registration Pro Service Septic is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00667 o and registered as a e:,e D NORTH EQ %L 12. 9* -�� Septage Management Firm�� �� w� ��nffii�utr E,%r Q'M 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 of Forest City WWTP, Forest City, NC 2. Town of Spindale WWTP, Spindale, 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. Digitally signed by W m Perry Wm Perry Sugg Sugg Date: 2023.02.16 10:32:37-05'00' Perry Sugg, Environmental Compliance Branch Head APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM DOMM OF WASTE MWOEINEW -BOLD WASTE SECTION - 1666 IIAL SEME CEMA RALMN, NC 2786-1646 (I.) Firm name: (nm T*m ML%t h*&UC& as it Is shown an y" sA -,WV c efi - Zsullet —7711�—S—m &,C' - m*q address V 0-0: ctr sm: R.- ?J6!it igN F. E4&* RZY20 KS#— J24 Frm ands nww maft " idamer* Pbone: Fahe me" address (d marerl): cir K) TY*s) of se" ramped (Emirple:Douvibc:50,00M. PmWeTaletWage GfeaseiRrr."mm TmairnemPlant wm%a�l ToN NmtwdPwnpwVdvdn Opmra*d: meriffneed br: Wmeacsepwr—i Grease (reftuiarq adw— Porhik ToW Waft Mide k*mvftn (use addborW paper i needed) Lkerme Tj5 VeNde 99PbkabDn # TV* ,2 3 APPLICATION CONTINUED ON PAGE 2 PAGE i APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM (COKFINUED FROM PAGE 1) (74Doyou pbntDoperate wwvd"s?(check one) (,fy.( ).. Nyouchecked yes above, you mmi atteAtatbefakTAngstatwnwdbdomopwnAmqb@6suod. I cm*. under perdof law. thal the pmwvdule or vetwies Wed inft shyAW pern-d apocabon mods the requirmnerb for sale and sar*" transpartAm of sepkige as reqxred by 15A NCAC 13B -0835(a) and Wit W" as mquked by 15A NCAC.0635(b), Fuitamiore. I also cer* thM a log is mairtained of each sepbp pxong evert as reqLired by 15A NCAC 138.0836(a). t am aware lhat Bove are s4gcafd putaNes for totes carfficafim kWkWkV the pm"q ol fine w4 imprismrmt! rmmmt.dbv-a*--mabm?(xY'-( )- iraw—naie (L)Se"DmpoWWl :(&-A—) u)AWmmd*mWwmK4eaknmt0wd:( �) yes( ) m. It yeL nbrAWaslowaW Traii-M&A-L26- for 806 plaKash*abdmSLtp&-ap*OBWH14)oltwSe*pMaep.mm R&L b) Septage Land Ap*abm Site (SLAS) Perrri Nurnbem- (use adMard sheets dmede4 &ASkEqwxbm Dale: _aASM—Ewral- Date. c) Septage 0dmdmorTreAmtFaulty (SDTF) PerrnmiNurrkm& (use addboxiatmeb dneeM) SDTFN--------E*rabmDa*_ SDTFt_E)prAm Dais:_ 0-)SepbWMann-WF-Operakwlriia c-mmo:I t m py , -^ TmWUSM or PmAed by-, Al r- -s (Jtj SWage Lard Apoc&- Sda Oper"Trawn CcmpMW: Dais: — Locom: Hmn: Tmwg Sm—ed or ProMed by., (11.) R90*81an type requested OEM OW Rardered Pub is &nMm Rum Reptered Wtw --p— R; https://edocs.deq.nc.gov/WasteManagement/DoeView.aspx?id=1485715&dbid=0&repo=WasteManagement&cr=1 9/30/22, 6:27 PM Page 2 of 2 AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environmental Quality o��,�2�3141S�sj)� Division of Waste Management - Solid Waste Section 40 cQ� 1646 Mail Service Center, Raleigh, NC 27699-1646 ^� �N t O Fee assessments and waste determinations will be required at the discretion o wastewater treatment facility. The facility has the ultimate prerogative to deny discharges \y wastes to the �,Qti incoming wastewater stream. e `3 9,?L3 Z. Town of Spindale (Plant Operator in Responsible ChargeRC), ORc License Number, Name of Plant) 327 Ecology Street, Spindale, NC, 28160 (Address) 828-286-3407 (Phone Number) of A - .17 do hereby authorize e �.lz:2-1 ,' 7-/--,- (Owner/Operator of Septage Management Firm) _ . ,r (Septage Management Firm Name and NCS number) to dispose of: domestic Septage XXX , portable toilet waste , # daG6 % grease septage (grease trap pumpings) — commercial/industrial Septage , from Rutherford County, Cleveland County (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: The influent distribution box inside the plant (Location) between the hours of 8:00 AM & 3:00 PM No weekends or Holida Reintroducing partially treated liquid into a grease trap is acceptable Yes xxx No This authorization shall be valid until !2. %>/23 (Usually December 31, Year) Signed / - Date2_ Z (Facility Operator) %J��,�, Subscribed and a irm d before me this 9e-124 %t► f OIL day of 20 Ift- My Commission expires: A#tK<A%S 202 5e (Notary Public) V� 'Cf�Cb,SEAL) c. 'Npr�9� - ., Q Note: Falsification of this document by the septage management firm shall le9djd'P ,knit revoc - S:/Solid Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018 eLIC 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. I, Jacob Hodge (ORC_ License Number# WW 1002183, Town of Forest City WWTP (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) P.O. Box 728 Forest City NC, 28043. Physical Address 397 Riverside Dr. Forest City NC 28043 (Address) 828-248-5217 do hereby authorize ' S (Phone Number) (Owner/Operator of Septage Management Firm) of (Septage Management arm Name and NCS number) to dispose of: domestic septage X portable toilet waste X grease septage (grease trap pumpings) commercial/industrial septage from Rutherford County North Carolina (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: 397 Riverside Dr. Forest Citv NC, 28043 649 (Location) between the hours of 7:OOAM and 3:30PM ••••,'rq,ta , no 'I,•r"��'yi s. Reintroducing partially treated liquid into a grease trap is acceptable Yes Xft� This authorization shall be valid until December 31 2023 .O U (Usually December 31, Year) =y�� •QL I (', ' Z i Signed Date l© 40-'�v��.�D COVE.*'•', (Facility©perator) Subscribed and affirmed be ore m this v day of 20 �2 My Commission expires: �/IK/+'' �rL?�2Y (Nota Public) Note: Falsification of this document by the septage management firm shall le*M it revocation. 5:/Solid_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WWTP Authorization Form 2016 ��eC } C