NCS00724_2023Permit_Initial

2023
Permit and Registration
Piedmont Portables
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-00724
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, 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. East Burlington WWTP, Burlington, 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
10:39:07-05'00'
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 exact v as it is shown on your vehicle(s)).
IP/M6r,orw7 'Rer ab lrS Street address of office: 3158 Zeu_r Z ir% je
City: --- ZUr'Z' le,✓ D Stately _Zip: czy/s- _
Mailing address (if different): / 16a fc / 6% _ Y_
City:--iffeLf li' c / —State:_ we Zip a _
Phone: 960.91- •8.7O1L3j&-_y37-ds3Fax;
E-Mail:_ �,�f/i TCSE �C�.�G��s • Gam
County: A law a-n Septage Management Firm permit number: NCS # OG
(2.) Firm owner's name: orh ri S��P�i�}` /Yl •• �'!',' �Y i ►'� _ _
Mailing address (if different): -------
City:_
__State: _Zip
Phone: Fax: _
(3.) Firm operator's naive: f'i7/'i.S�oDhrr /1'�• Tr �{;'r1 Firm operator's title:L�i� er
Mailing address (if different):
City:---- -- - -- -- - — —State:_ . —_Zip:__ — -- -
Phone: Fax:
(4.) Type(s) of septage pumped: Write in the number of gallons ju1naed in last 12 months (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease (Restaurant)
- rah 297—
Treatment Plant
Industrial/Commercial
(5.) N.C. Counties of Operation: 4ia Ina Oz-q pq e. Dm-4a m _
(List each counfy you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: _ o-
Number used for: Domestic Septage: Grease (restaurant):
Other: Portable Toilet Waste: S
Vehicle Information: (use additional paper if neaded)
APPLICATION CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) (V) 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 Date /b aid ZZ
(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.
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: Location:_ RaYee'Qk IVC Hours: 4.. _
Training Sponsored or Provided by: /�o��GZb,�tp %y� �+e97_ _r;!'ou to
(10.) Septage Land Application Site Operator Training Completed:
Date: Location: Hours:
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
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 (Sig re of company officiaIre quired)
�'�ir► S��olz~�r X, Girr'��n
Print Name
Other Comments:
Date
Title
PAGE 2
Rev. 04-26-2021

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
Division of Waste Management - Solid Waste Section
401 Oberlin Rd., Ste.150, Raleigh, N.C. 27605
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, Damn Allred, Chief Operator of the East Burlington Wastewater Treatment Plant
(Plant Operator and Name of Plant)
225 Stone Quarry Rd. Burlington, NC 27217
(Address)
336 57M515 do hereby authorize Edwin Scott
(Phone Number) (Owner/Operator of Septage Management Firm)
X0
Piedmont Portables NCS # S00724
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage NIA portable toilet waste. X
grease septage (grease trap pumpings) N/A _ _ commercial/industrial septage N/A
from Alamance CountK Only _ at the above named wastewater treatment facility.
(County or other Geographic Area)
Septage shall be discharged at: 3158 Lear Drive, Burlington. NC 27215.
(Location)
between the hours of 8:00 am -5:00 Prn Monday - Satur ft,
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This rization shall be valid until December 31.2023
(Usually December 31, Year)
Signed - — Date _' 21 - Z y
oy
(Facility Operator)
Swornto and subscribed before me this day of Nvl r .20
My Commission expires: - ' Iq - 2�
(Notary Public) �� C. Alp
n PUBLIC
71
Note: Falsification of this document by the septage management firm shall lead to permit revocation.t
L Cow" ,
H:CLA/FORMS/2009 Firm Application/WVVrPAuthodzationForm20l O

NC SLP T'A E MANA E �Nl'L �A
Recertification of Pumper Vehicle(s)
Septage Firm Permit #:_
Number of Pumper Vehicles:
CERTIFICATION:
NCS- ,0o1-2!
" 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."
Signature (Signature of npany official required)
Chrsfa�h
Print Name er
_ O - zo-ZZ _
Date
Title cam.
S:lSolid_WastelclalseptagelformslPumper Vehicles C:etification.doc

PIEDMONT PORTABLES NC'S#00724
CMG VENTURES II, LLC
P O BOX 1957
BURLINGTON, NC 27216
LICENSE # VIN#
TANK
CAPACITY
GAL. TRK # MAKE/MODEL
k
KY9574
1HTMMAAL27H447903
1500
9
INTERNATIONAL 4300P
KY9570
lHTKHPVKlMH653712
900
11
CHEV.SILVERADO/HD
KY9578
1GBE5C19991`402345
1250
24
CHEVROLET 55001)
KY9579
1HTMMA.ALX6H342234
15CO
25
INTERNATIONAL 4300P
KY9577
1FVACWDT4EHFS5386
2000
15
FREIGHTLINER
KY9576
1FVACNVDT6EHFS5387
2000
18
FREIGHTLINER
KY9575
3ALLACWDT8HDJE5048
2000
14
FREIGHTLINER
NR9208
3HAEUNIMN81,L356187
2000
19
INTERNATIONAL MV607

�X
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Phone/Fax: [phone]
Email: [e-mail]
Septage - Annual:
Piedmont Portables (NCS-00724)
PO Box 1957
Burlington, NC 27216
Number of Trucks: 8
INVOICE
To: Christopher Griffin
Piedmont Portables
PO Box 1957
Burlington, NC 27216
Date: 09/27/2022
Invoice #: NCS-00724-2023
$800.00
Date Due: 1 12/15/2022
LATE FEES: In accordance with NC General Statutes GS 130A-291.1(e2), a late fee will be applied to any annual permit fees not submitted by January 1, 2023.
Payment Options:
E-check Available online at httos://deq.nc.aov/sway
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card Available online at https://deq-nc.gov/swipay
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number shown
on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
[*Convenience Fee of 2.65% added to amount invoiced.]
Paper check Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number on
check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy of this
invoice with your payment.
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Explanation of Invoice Amount is Based on Firm's Current Permit Status:
Pursuant to North Carolina General Statute 130A-291.1 you are required to pay fee(s) based on your solid waste management
activities. The fee(s) shall be used to support the septage management program.
For questions regarding_
Billing Jared Wilson [phone]
PA I
Regulations or Technical Assistance Chester Cobb [phone]
Jeffrey Bullard [phone]
CK. NO. Da27�2
DAiE�L1,r4�??
,-
More information available on the web:
North Carolina Depart
�.� co
ment of Environmental Quality (DEQ) https://deq.nc.aov
North Carolina Solid Waste Program - httes: ; de- .nc.govr'about ivisions'waste-managemenU'solid-waste-section
North Carolina Septage Management Program - htt-,s:,'deq. nc. ov/abou :divisions,,waste-mana emen +solid-waste-sectio s .ecial-wastes-and-alternative
handling/seottage