NCS00831_2023Permit_Initial

2023
Permit and Registration
East Coast Rent -A John
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00831
o and registered as a
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NORTH
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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. Town of Macclesfield WWTP, Macclesfield, 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 Wm Perry
Wm Perry
9g
Date: 2023.02.17 14:19:56
S U g g-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*
East Coast Rent -A -John
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00831
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
1236 Bynum Farm Road
Address Line 2
City
State / Province / Region
Pinetops
NC
Postal / Zip Code
Country
27864
Edgecombe
County*
Edgecombe
Mailing address same as street address of office?*
Yes • No
Mailing Address*
Street Address
113 Waterford Way
Address Line 2
City
State / Province / Region
Maysville
NC
Postal / Zip Code
Country
28555
Onslow
Phone*
Fax
252-813-7038
Email*
[e-mail]
Owner Info
Firm owner's name*
Lonnie House / Christopher Lewis
Mailing address same as street address of office?*
Yes 0 No

Mailing Address*
Street Address
113 Waterford Way
Address Line 2
City
Maysville
Postal / Zip Code
28555
Phone*
252-813-7038
Operator Info
State / Province / Region
NC
Country
Onslow
Fax
Firm operator's name* Firm operator's title
Lonnie House / Christopher Lewis owner/operator
Mailing address same as street address of office?*
Yes • No
Mailing address*
Street Address
113 Waterford Way
Address Line 2
City State / Province / Region
Maysville NC
Postal / Zip Code Country
28555 Onslow
Phone* Fax
252-813-7038
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 10,000
Portable Toilet Waste 93,600
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in:
Eastern North Carolina
Vehicle Info
Do you plan to operate pumper vehicles?*
0 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
&--i *wrf fit
Date*
12/29/2022
Title*
Owner / Operator
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Portable Toilet Waste KT4816 3C7WRKBJ2JG122442 1,200
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* Expiration Date* Authorization *
Town of Macclesfield 12/23/2022 20221229 112... 1.91MB
Septage Land Application Sites (SLAS)
Yes • No
Septage Detention or Treatment Facility (SDTF)
Yes • No
Other disposal method*
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
9/15/2022 8

Location*
Online
Training Sponsored or Provided by*
NC DEQ - New Operator Training
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
Need new permit number. New firm owner will be Christopher B. Lewis effective
January 2023.
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
C�frrrr i6 r 0 �%f(w
Date
12/17/2022
10:15:07 PM
Print Name* Title*
Christopher B. Lewis / Lonnie House Owner / Operator

UTHOR IZATIO
SEPT
AGE TO p WASTEWATER TREAT
N TO DISCHARGE
t .��ull�Quality
i� UrN�rtm�nt on'�r�5�lld W11 4tOon en SctIon
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i ons
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of
MENT FACILITY
)e requIrF(i dt the discretfor� of the wastewater
rerogative to deny discharges oaf anY wd`-'te3 to the
IL
e
i
operator in Responsible Charg
phone Number)
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tcc �c
do hereby authorize
ORC)p ORC License Number, Name of Plant)
27
(Address
i
(Owner/Operator of Septage Nlanagement Firm)
(Septage Management Firm Name and NCS number)
to dispose ofe domestic septage V00000 .portable toilet waste
grease septage
NCS #
{grease trap PUmpings) _______� commerclal/'Industr'l'alseptage-
from
(County
or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
between the hours of 070
10(
L01
(Location)
Reintroducing partially treated liquid into a grease trap is acceptable Yes N o
This authorization shall be valid until f)ece jo�e 202
(Usualry December 31, Year)
5i r d
(Facility Operator)
SUb�.�ribed and affirmed before me this
My COMMI
(,N6t-ary Public)
•%
Noce: Falsification of this document by the septage management firm shall
S.e o1j*d Firm Appfication/\NWTP Authorization form 2016
Date I To-w-2900 ZZ
rANLEY
Notary Pub 'c, Norh r lino
ej�rt'es:
My comm6si
onExpires3 k k OIL: am
(OFFICIAL SEAS)
ead to perm+t revocation.