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HomeMy WebLinkAboutNCS00805_2023Permit_Initial2023 Permit and Registration Dennis Hoyle Services Septic Tank Pumping & Porta Jon Rentals is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00805 Nnr 0.i� ti o and registered as a e:,e DE A Q 4%L 12. rim -�� Septage Management Firm awnen� f� wrnmenta��lty 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. Septage Land Application Site, SLAS-55-01 2. Septage Detention or Treatment Facility, SDTF-55-01 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 Perr Digitally signed by Y Wm Perry Sugg Sugg Date: 2023.02.17 14:16:38-05'00' Perry Sugg, Environmental Compliance Branch Head 46 B A_ North Carolina Department of Environmental INVOICE £rviranmcrtjl Solid Waste Section Division of Waste Management To: Dennis H Hoyle Solid Waste Section Dennis Hoyle Services Septic Tank Pumping & Porta- 1646 Mail Service Center Jon Rentals Raleigh, NC 27699-1646 PO Box 84 Phone/Fax: (919) 707-8298 10' NC 28168 Email: jared.wilson@ncdenr.gov PA DATE ft - 7 - 22 Date: 09/27/2022 7 5 00. 00 Invoice *: NCS-00805-2023 Septage - Annual: Hoyle Services Septic Tank Pumping & Porta-Jon Rentals (NCS-00805) PO Box 84 $800.00 Vale, NC 28168 Number of Trucks: 2 Date Due: 1 12/15/2022 LATE FEES: Payment Options: E-check Available online at 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 Papercheck Available online at 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.] 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 guestions re ardino: Billing Jared Wilson (919) 707-8298 Regulations or Technical Assistance Chester Cobb (919) 707-8283 Jeffrey Bullard (919) 707-8285 More information available on the web: North Carolina Department of Environmental Quality (DEQ) - North Carolina Solid Waste Program - North Carolina Septage Management Program - 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 exactiv as it is shown on your vehicle(s)). `S leS�. (CerSy SPs G n Clwr. ,, 4 wlia: dr. f, -f0s, Street address of office: City: 1 State: NL • Zip: cW/ i. F Mailing address (if different): �. �0 v City: VG. le- State: k'_6 -Zip IP E!� Phone: 11-27 6'OfOlejP-YWFax: E-Mail: County: Co lh Septage Management Firm permit number: NCS # (2.) Firm owner's name: 1 n r P Mailing address (if different): City:__ State: Zip Phone: Fax: (3.) Firm operator's name: -i5 Firm operator's title: D wt4C- 'c Mailing address (if different): City: State: Phone: Fax: Zip: (4.) Type(s) of septage pumped: Write in the number of gallons oumned in last 92 months (Example: Domestic: 50,000). Domestic I Portable Toilet Waste I Grease (Restaurant) I Treatment Plant (5.) N.C. Counties of Operation: c v h 5 t"®� , Ca Aa w �c,, C) P iJ C, /a n d ■Tu male (List each county you are authorized to do business in) (6.) Total Number of Pumper Vehicles Operated: _ ,->I- Number used for. Domestic Septage:_ j Grease (restaurant): Other. Portable Toilet Waste: Vehicle Information: (use additional paper if needed) License Tag # Vehicle Identification # Tank Capacity 1 S C3 C 5 -22105 02 o a 2 frvA dic Ow4wig go , 3 11 4 5 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) (�s ( ) 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." r Do you attest to the statement above? ( �es ( ) no Initial L Date / / 5V (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 theSeptage Management Rules. b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed) SLAS#:5!�!Qj _Expiration Date: `! !a 6 SLAS#: Expiration Date: c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed) SDTF#: 1 Expiration Date: 4-2u_2y SDTF#- Expiration Date: (9.) Septage Management Firm Operator Training Completed: Date: 0a2 Location: , iG r Hours:_.:' Training Sponsored or Provided by: / C S (10.) Septage Land Application Site Operator Training Completed: Date: / —-} Z Location: II i C k OT _ _ Hours: _ Training Sponsored or Provided by: A I ( � % A (11.) Registration type requested: CHECK ONE Registered Portable Sanitation Firm: Registered Septage Management Firm: / Registered Portable Sanitation and Septage Management Firm: V 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 making a false statement, representation, or certification. Signature (Signature of comp6nyofficial required) Rpci h(s P. 401'/P Print Name Other Comments: 3t" -?0Zz Date I:C Title PAGE 2 Rev.04-26-2021