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NCS00759_2023Permit_Initial
2023 Permit and Registration Hurley Backhoe Services Inc is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00759 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. City of Asheboro WWTP, Randleman, NC 2. Town of Mt. Gilead WWTP, Mt. Gilead, NC 3. Moore County Water Pollution Control Plant, Aberdeen, NC 4. Town of Troy WWTP, Troy, 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: 2023.02.17 14:12:03-05'00' 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* Hurley Backhoe Services, Inc. The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-00759 Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX) Street address of office* Street Address 116 Rock Hill Drive Address Line 2 City State / Province / Region Star NORTH CAROLINA Postal / Zip Code Country 27356 United States County* Montgomery Mailing address same as street address of office?* • Yes No Phone* Fax 9105710698 Email* hurleybackhoeinc@yahoo.com Owner Info Firm owner's name* Steven Hurley Mailing address same as street address of office?* Yes • No Mailing Address* Street Address 184 Hurley Farm Rd. Address Line 2 City State / Province / Region Star NC Postal / Zip Code Country 27356 United States Phone* Fax 9105712028 Operator Info "J Firm operator's name* Firm operator's title Steven Hurley President Mailing address same as street address of office?* Yes • No Mailing address* Street Address 184 Hurley Farm Rd. Address Line 2 City State / Province / Region Star NC Postal / Zip Code Country 27356 United States Phone* Fax 9105710698 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 256,000 Portable Toilet Waste 49,600 Grease (Restaurant) 0 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: Moore, Randolph, Montgomery Vehicle Info Do you plan to operate pumper vehicles?* • 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* 12/28/2022 Title* President Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Portable Toilet Waste JL9295 JALB41314817004623 650 Domestic Septage AS3887 2FZHAJBC5YAG47965 1,400 Portable Toilet Waste JL9294 1GBE5C1947F425299 950 Portable Toilet Waste JP6533 54DC4W1BOK5810929 950 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* Moore County Water Pollution Control Plant Town of Troy WWTP City of Asheboro WWTP Town of Mt. Gilead WWTP Septage Land Application Sites (SLAS) Yes • No Septage Detention or Treatment Facility (SDTF) Yes • No Expiration Date* Authorization* 12/31/2023 2023 Moore 114.69... Dump Form.tiff 12/31/2023 2023 Troy 233.99... Dump Form.tiff 12/31/2023 2023 Asheboro 115.93... Dump Form.tiff 12/31/2023 2023 MG Dump 136.28... Form.tiff Other disposal method* Yes • No Septage Management Firm Operator Training Completed^ Date* Hours* 1/27/2022 6 Location* Hickory, NC 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 Date 12/28/2022 09:12:45 AM Print Name* Steven Hurley Title* hurleybackhoeinc@yahoo.com AUTHORIZATION TO, DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY Norfh Carolina Department of Environment and Natural Resources 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, Michael R Wiseman 'ORC WW4#987680 City of Asheboro Wastewater Treatment Plant (Plant Operator in! ResponsibleCharge (ORC), ORC License Number, Name of Plant) 1032 Bonkemever Drive Randleman NC 27317 ress) 336-672-0892 do'hereby authorize Steven Hurley (Phone Number) (Owner/Operator of Septage Management Firm) of Hurley Backhoe Services Inc. NCS# 00759 (Septage Management Firm Name and NCS number) to dispose of: domestic septage X , portable toilet waste X grease septage (greaseltrap pumpings), commercial/industrial septage -from i Randolph County (County or other Geographic Area) i at the above named wE stewater treatment facility. Septage shall be discharged at: 1032 Bonkemever Drive Randleman, NC 27317 (Location) between the hours of 7:00 a.m. to 5:00 p.m. Monday - Friday Only Reintroducing -pa rtially;-treate, I -.liquid'.,! nto,; a -grease- trap is -acceptable Yes ; --X No -- - This authorizationshall be Ivalid until December 31, 2023 (Usually December 31,'Year) y Signed Date (Facility Operator) Subscribed and affirmed before me this day.of �'IV 20 My Commissionj expires: (Notary Public) QCt W (OFF �OL SEAL A G Z_ 0 Note: Falsification of this, document by the septage management firm shall lead to permit revp2%Ion. S:/Solid_Waste/CLA/SEPTAGE/FORMS/2019 Firm Application/WWTP Authorization Form 2019<i� �PH, G����� AHORIZATlO N TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY IJT North Carolina Department of Environment and Natural Resources 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. ri � �� ✓lii�fs �. � ��'7"D L%:.� 1©CJ,�,1 ©i� /lj'}"���a d �� e�.�,.�..� (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) (Address)' 'G� "b`��1 ` d8`� �% do hereby authorize ..(Phone Number) (Owner/Operator of Septage IVYanagement Firm) of ce-5, Inc. NCS# 007PI (Septage Management Firm Name and NCS number) to dispose of: domestic septage portable toilet waste ✓" grease septage (grease trap pumpings) n0 commercial/industrial septage from �Q1L1�.ClCI:IfY1,Q,IN1 � n� (C 0 ur y or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: 14� o n ab k� �4 _ (Location) between the hours of i WW1- �rM t� _E- kAX-\a5 �101I dCtN s Reintroducing partially treated liquid into a grease trap is acceptable Yes ✓ No " This authorization shall be valid until em62.y- (Usua►ly D ece mber 31, Year) Signed Date '/l 1-26-;2 2 (F ty Operator) Subscribed and affirmed before me. this day of Nc,-&,m6- 20 2 Q� V'1 LaC, My Commission expires: O . 1 " A - (Notary Public) (QF� ` �SCAL) yC' v .��TARy'•,�' Note: Falsification of this document by the septage management firm shall lead to permit ii�'%i*at oB 0G 2 .S./Solid Waste/CLA/SEPTAGE/FORMS/2014 Firm Application/MV71) Authorization Form 2014 ERY CD AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environmental Quality Division of Waste Management -Solid Waste Section 164,E Mail Service Center, Raleigh, NC 27699-1646 Fee assessments and waste determinations will be required at the discretion of the wastewater treatment facility. Theifacility has the ultimate prerogative to deny dischargesofany wastes to the incoming wastewater stream. I, Stephen G Morgan, QRC, Biological WW Operator 4 #997509, Moore County Water Pollution Control Plant (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 1094 Addor Road Aberdeen, North Carolina 28315 (Address) ----- — 010-947-4345 do hereby authorize �S jeye t (Phone Number) (Owner/Operator of Septage Management Firm) of A" /e/ Octe Ape Sle..ruires, .0W,. NCS # oa-7fi1 (Septage Management Firm Name and NCS number) to dispose of: domestic septage Yes portable toilet waste Yes grease septage (grease trap pumpings) No commercial/industrial septage Pe-authotlzs0enw5Wrea , from Within the boundaries of Moore County, North Carolina OR a contracted service area of the WPCP (County' or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Septic Receiving Station located at the Moore County WPCP (unless otherwise specified by the ORC) (Location) between the hours of 7:00am to 5:00pm, Monday thru Friday (excluding observed holidays) Reintroducing partially treated liquid into a grease trap is acceptable Yes No No This authorization shall be valid until December 31, 2023 (Usually -December 31 Year-)- Date %/ 7 Signed c� dZ (Facility Operator) Subscribed and affirmed before me this (Notary Public) Sami day of 20 Ion expires: S el pir . Moors un 2027 FFICIAL SEAL) Note: Falsification of this document by the sep age management irm s all leaa to permit revocation. S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018