NCS00803_2023Permit_Initial

2023
Permit and Registration
Precision Septic Pumping
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00803
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. North Harnett Regional WWTP, Lillington, NC
2. Cross Creek WRF/Rockfish Creek WRF, Fayetteville, NC
3. Big Buffalo WWTP, Sanford, NC
4. Norman H. Larkins WWTP, Clinton, 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
Wm Perry
by Wm Perry
Sugg
Sugg Date: 2023.02.17
_ 14:16:08-05'00'
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-.
SM
(1.) Firm name: (The "Finn name" must be .g4L,-,Vj as R is shown on your vehicle(s)).
frez-- i 5, o r) r c Rjmp i/),%
Street address of office:
City:` A✓6- State: Zip: __? 7 S !
Mailing address (if different):
City: State: zip
Phone: /9 —(03 9i ` Sr9 A 9 Fax:
41
E-Mail: Yee, 6,100
Coen
CountY:__�tOW A/ rr- _Septage Management Firm permit number: NCS # 00
(2.) Firm owner's name; 91 C-K`/ /--t0LL.,e -.,v0
Mailing address (if different):
City: State: Zip
(10 1 Phone: f i i —�3 �� Fax:
R) Firm operator's name: A ! 0-1—Ha &i 1,v,0 Firm operator's title: 40
Mailing address (if different):
City: State:
Zip:
Phone: Fax:
K) Type(s) of septage pumped: Write in me -number of gallo�moed in lam 12 r= (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease (Restaurant) Treatment Plant industrial/Commeraal
(5.) N.C. Counties of Operation: Zee ("Lm4,&ekol
(List each county you are authorized to do business in)
(6.)
Total Number of Pumper Vehicles Operated:
Number used for. Domestic Septage: j
Other:
Vehicle Information: (use addoonal paper if needed)
License Tag # Vehicle Identification #
Ad, y
Grease (restaurant):
Portable Toilet Waste:
Tank Capacit±
'6 %/ Q
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) ('t�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). l am aware that there are significant penalties for false certification including the
possibility of fine and imprisonment." Do you attest to the statement above? (i�Jes ( ) no Initial I�1 L14- Date 1 Z l q '2-2—
(8.) Septage Disposal Method: (check one) �
a) Approved wastewater treatment plant: ( V) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each
Plant, as indicated in Subparagraph .0834(c)(14) of theSeptage 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:,cQ�
Date: _ r . ;a, Location: `% Hours
Training Sponsored or Provided by: ! '
(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
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 malting a false statement, representation, or certification.
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Other Comments:
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Date ,s
Trite
PAGE 2
Rev. 0426-2021

NC SEPTAGE MANAGEMENT FILM
Recertification of Pumper Vehicle(s)
Septage Firm Permit #: NCS- 00 903
Number of Pumper Vehicles: 1
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 ri�jquired 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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Print Name
Date
Title
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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, BillyJ. Thomas Grade IV WW # 995445 ORC North Harnett Regional WWTP
NPDES # NCO021636
607 Edwards Brothers Drive Lillington NC 27546 910-893-2424
do hereby authorize
Of Rn G r
this will also include dul a ointed drivers of the com an
to dispose of: domestic septage and/or portable toilet wastes at the above named WWTP.
Septage shall be discharged at: Septage Receiving Station at NHRWWTP
between the hours of 7
and 7 AM-6 P
This authorization shall be valid until 12-31-23
Signed —LkDate ' ( Q�
LW
Facility Operator)
1
`
ubscribed and affirmed before me this t � day of A�-E\� —C� 2022
1
My Commission expires: FEB 10 2024
(OFFICIAL SEAL)
OFFICIAL SEAL
- : Notary Public, North Carolina
County of Harnett
Carolyn K. Murayama
Note: Falsification of this document by the Septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WWTP Authorization Form 2017

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.
1, OLUH MICU U.;A-482 Cross Creek WRF / Rockfish Creek WRF
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
P.O. Box 1089 Fa etteville. NC 28302.1089
(Address)
_(910) 223.4700 do hereby authorize Rick Holland
(Phone Number) (OwnedOperator of Septage Management Firm)
of Precision Se tic
(Septage Management Firm Name and Inumber) NCS# 00803
to dispose of. domestic septage X , portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage from
Cumberland & surroundin counties
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Facilit Influent Pum 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 /1/-�y Date f 6 tl
(Facility 0 erator)
Subscribed and affirmed before me this day of 20
My Commission expires: -�!� /
(Notary Public) 0 °`',�
(�1���::_ 'L• SEAL)'= �cp''�
y: NG-VARY
Note: Falsification of this document by the septage management firm shall lead to permit revocation. — *
C3 PUBOG
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2023 Firm Application/WWTP Authorization Form 2023

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. Scott Siletzky Bia Buffalo Waste Water Treatment Plant
(Plant Operator and Name of Plant)
5327 Iron Furnace Rd., Sanford. NC 27330
(Address)
1.919)775-8305 do hereby authorize Rickv Holland
(Phone Number) (Owner/Operator of Septage Management Firm)
Of Precision Sectic NCS # 00803
(Septage Management Firm Name and NCS number)
to dispose of., domestic septage x portable toilet waste x
grease septage (grease trap pumpings) commercialfindustrial septage , from
Lee Count%r 'Only
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
_ 5327 Iron Furnace Road
(Location)
between the hours of 7am-7 m Monday - Sunda
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until December 31.2023
(Usually December 31, Year)
Signed Date
(F ilityerator)
Swo to and subscribed before me this 4-k day of a 20
My Commission expires:
(Not ry Public)
C/ ��� , f Q I • n (OFFICIAL SEAL)
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
•' M1M� .A ''�.p„
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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.
Blake Raynor, 1001100, Norman H. Larkins WWTP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
123 Mill Branch Road, Clinton; NC 28328
(Address)
[phone] do hereby authorize Ricky Holland
(Phone Number) (Owner/Operator of Septage Management Firm)
of
Precision Septic
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage ❑� portable toilet waste
NCS # 00803
grease Septage (grease trap pumpings) NOT ACCEPTED NOT ACCEPTED commercial/industrial Septage , from
Sampson and surrounding counties
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Norman H. Larkins WPCF, 123 Mill Branch Road, Clinton, NC
(Location)
between the hours of 7:00 AM to 3:30 PM (after hours upon approval)
Reintroducing partially treated liquid into a grease trap is acceptable
This authorization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed Date 2 2_.
(Faci ' y Operator)
Subscribe! d arid affirmed before me this
(Notary Public)
Yes ZNo
day o��
My Commission expires:
,,,.,oTAR Y
SEX0B% %C`
'y��entbere ry�� r'
SoN.CO
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018

City of Clinton
Clinton Public Works &Utilities Department
Norman H. Larkins Water Pollution Control Facility
Public Works &
Utilities Department
WASTEWATER HAULER AUTHORIZATION
Based on the information provided to the City of Clinton WPCF via the City of Clinton Wastewater Hauler Questionnaire,
and when applicable, the completion and submission to the State of North Carolina of the AUTHORIZATION TO
DISCHARGE SEPTAGE TO A WASTEWATER FACILITY, the following Wastewater Hauler is authorized to dispose of hauled
wastewater to the Norman H. Larkins WPCF at a maximum loading and per the requirements as set forth in the City of
Clinton Norman H. Larkins Wastewater Treatment Plant Hauled Wastewater Acceptance Policy and the City of Clinton
Sewer Use Ordinance, Chapter 22, Water and Sewer, Article V. Sewers.
Hauler Information
Hauler Name: Ricky Holland, Precision Septic
Hauler Address:
554 Homestead Ln.
Angier, NC 27501
Hauler Telephone: [phone]
Alternate Telephone: [phone]
Name: (Print) Blake Ra
Signature
Name: (Print) Lisa Osthues
Signature
Expires: 12/31/23�
City of Clinton
Wastewater Hauler Authorization
WHA1
Title: Wastewater Manager
Date 2
Title: Environmental Programs Manager
Date