NCS00879_2023Permit_Initial

2023
Permit and Registration
Harnett Regional Water
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-00879
o and registered as a
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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. North Harnett Regional WWTP, Lillington, 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: 2023.02.20
09:41:17-05'00'
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*
HARNETT REGIONAL WATER
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS00879
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
700 McKinney Parkway
Address Line 2
City
State / Province / Region
Lillington
NC
Postal / Zip Code
Country
27546
Harnett
County*
Harnett
Mailing address same as street address of office?*
• Yes No
Phone* Fax
910-893-7575
Email*
[e-mail]
Owner Info]
Firm owner's name*
HARNETT REGIONAL WATER
Mailing address same as street address of office?*
• Yes No
Phone* Fax
910-893-7575
Operator Info
Firm operator's name* Firm operator's title
Randolph Clegg Collection System Supervisor
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
910-893-7575
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic
1 , 000,000
Portable Toilet Waste
0
Grease (Restaurant)
0
Treatment Plant
0
Industrial/Commercial
0
North Carolina counties of operation
List each county you plan to do business in:
HARNETT
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
� ,1e
Date*
1/4/2023
Title*
Collection System Supervisor
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage 59318-V 1FUYDDB8UP940043 3,000
Domestic Septage 59316-V 1GBP7H1J7NJ105981 1,800
Domestic Septage 53024-W 1FVHCYFE9NHNNM0293 4,000
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*
NORTH HARNETT REGIONAL WWTP
Septage Land Application Sites (SLAS)
Yes • No
Septage Detention or Treatment Facility (SDTF)
Yes • No
Other disposal method*
Expiration Date* Authorization*
12/31/2023 treatment 57.54KB
Facility.pdf
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
12/3/2022 4
Location*
Raleigh NC
Training Sponsored or Provided by*
NC Pumper Group & NC Portable Toilet Group
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
1/4/2023
08:51:27 AM
Print Name*
Randolph Clegg
Title*
Collection System Supervosor

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, Bill J. Thomas Grade IV WW # 995445 ORC North Harnett Re Tonal WWTP
NPDES # 4CO021636
607 Edwards Brothers Drive Lillington NC 27546
910-893-2424 do hereby authorize Harnett Re Tonal Water NCS # 00879
to dispose of: domestic septage from Harnett County and Service Areas
at the above named wastewater treatment facility. Septage shall be discharged at:
ualization Basin Vault
between the hours of an Ime
H
This authorization shall be valid until 12-31-23
Date
Signed
0
cility Operator)
bscribeo\1747
rmed before me this 1 � day of
2022
FEB 10:2.a24
n,i 4 1N(k ," CII kk X i ��- My Commission expires:
OFFICIAL SEAL
Notary Public, North Carolina
County of Hamett
Carolyn K. Murayama
(OFFICIAL SEAL)
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