NCS00834_2023Permit_Initial

2023
Permit and Registration
Rachel Locklear Porta John Service
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-00834
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. Septage Land Application Site, SLAS-78-19
2. Septage Detention or Treatment Facility, SDTF-78-19, SDTF-78-22
3. Cross Creek WRF/Rockfish Creek WRF, Fayetteville, NC
4. Lumberton WWTP, Lumberton, 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 Perr Digitally signed
Perryby Wm Perry Sugg
Sugg Date: 2023.02.21
11:36:51-05'00'
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*
Rachel Locklear Porta Jon Service
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00834
Enter the five digits following the NCS #
Street address of office*
Street Address
2161 Evergreen Church Rd
Address Line 2
City
Pembroke
Postal / Zip Code
28372
County*
Robeson
Mailing address same as street address of office?*
• Yes No
Phone*
910-734-1759
State / Province / Region
NC
Country
United States
Fax
910-521-9310
Email*
[e-mail]
Owner Info}
Firm owner's name*
Rachel Locklear
Mailing address same as street address of office?*
• Yes No
Phone* Fax
910-734-1759 910-521-9310
Operator Info
Firm operator's name* Firm operator's title
Rachel Locklear Owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
910-734-1759 910-521-9310
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic
0
Portable Toilet Waste
100,000
Grease (Restaurant)
0
Treatment Plant
0
Industrial/Commercial
0
North Carolina counties of operation
List each county you plan to do business in: *
Robeson, Cumberland, Columbus, Scotland
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*
12/7/2022
Title*
Owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper
Vehicles
Usage*
License Tag #*
Vehicle Identification #*
Tank Capacity*
Portable
Toilet
Waste
CF2216
1HTSDAAM71H314108
1,000
Portable
Toilet
Waste
HJ2043
3C7WRMBLGG377724
1,000
Portable
Toilet
Waste
JM2589
5PVNJ8JL4K4S52243
1,600
Portable
Toilet
Waste
FA1375
3C7WRMCLXKG646712
1,250

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
Lumberton WWTP
12/31/2023
Lumberton 351.72...
WWTP
Agreement
2023.pdf
Cross Creek WRF
12/31/2023
Cross Creek 358.91...
WRF
Authorization
2023.pdf
Envirochoice Recycling
12/31/2023
Envirochoice 1.6MB
Authorization
2023.pdf
Septage Land Application Sites (SLAS)
• Yes No
If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site.
SLAS # * Expiration Date* Authorization
SLAS-78-19 1/6/2024
Septage Detention or Treatment Facility (SDTF)
• Yes No
If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for
each site.
SDTF #* Expiration Date* Authorization
SDTF-78-19 1/6/2024
Other disposal method*
Yes • No

Septage Management Firm Operator Training Completed
Date* Hours*
2/19/2022 4
Location*
NC State Fairgrounds 4285 Trinity Rd Governor Martin Building
Gate 9 Raleigh NC 27607
Training Sponsored or Provided by*
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
Date Hours
2/19/2022 3
Location
NC State Fairgrounds 4285 Trinity Rd Governor Martin Building
Gate 9 Raleigh NC 27607
Training Sponsored or Provided by
NC Pumper Group & NC Portable Toilet Group
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
12/7/2022
11:48:00 AM
Print Name* Title*
Rachel Locklear Owner

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,
I, Scott McCoy #24382 Cross Creek WRF I Rockfish Creek WRF
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
P.O. Box 1089 Fayetteville, NC 28302.1089
(Address)
910 223.4700 do hereby authorize Rachel Locklear
(Phone Number) (Owner/Operator of Septage Management Firm)
of Don Locklear Se tic rank Cleanin NCS# a0691
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X , portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage , from
Cumberland & surrounding 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
(Fa--LAcility p ator) Date o ! Z
Subscribed and affirmed before me this / -711h day of 20�
My Commission expires:4W4
(Notary Public) I "r
00,u1111 j"+t,
A,• ., TH0,�w�
XP
Note: Falsification of this document by the Septage management firm shall lead to permit revocation.=
S:/Solid_Waste/CLAISEPTAGE/FORMS/2023 Firm Application/WWTP Authorization Form 2023 PUg`�G
A

AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR
STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF
(This form is used by a detention or treatment facility permit holder to indicate that permission
has been given to a permitted Septage Management Firm to discharge septage into the permit
holders detention or treatment facility.)
M
do hereby authorize:
(Facility Operator)
(Operator Address)
(Owner of Septage Management Firm)
NCS #
(Name of Septage Management Firm)
(Address of Septage Management Firm)
to utilize septage detention or treatment facility # for the treatment or storage of
septage *
in 20 The facility will be operated in accordance with the Septage Management Rules **.
Date:
Signed
(Facility Operator)
* As defined in G.S. 130A-290(a)(32)
** As defined in 15A NCAC 13B .0800
Return the properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
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.
I, HenryHarper; ORC # 1008147 City of Lumberton Waste Treatment Plant
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
700 Lafayette Street, Lumberton, NC 28358 Contact: Tammy Smith 910-671-3858
(Address) (Contact / Phone Number)
do hereby authorize
Rachel Locklear
(Owner/Operator of Septage Management Firm)
of Don Locklear Septic Tank Cleaning & Rachel Locklear's Portable Toilets NCS # 00691
(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 YES , from
Robeson and Surrounding Counties _
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
The Influent Basin at 700 Lafayette Street Lumberton, NC 28358 _
(Location)
between the hours of 7 am to 4 pm MondaV — Friday. No weekends or Holidays
Reintroducing partially treated liquid into a grease trap is acceptable Yes KNo
This authorization shall be valid until December 315f 2023
(Usually December 31, Year)
Signed Date ,d `
(Faci ty Operator)
Subscribed and affirmed before me this day of �0+�`E , 20 ALL
My Commission expires:
(No64 Public)
(OFFICIAL SEAL]=TAMMYH NC 19-2D25
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_waste/CLA/SEPTAGE/FORMS/2014 Firm Application/WWTP Authorization Form 2014