NCS00895_2023Permit_Initial

2023
Permit and Registration
Triad Industrial Services, Inc.
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00895
and registered as a
12 �� Septage Management FirmCAROL] � �nffi��NOR Ity
LULAH
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, Tide 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. Carolina Compost, 2911-COMPOST
2. Septage Detention or Treatment Facility, SDTF-41-20, SDTF-41-04
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
W m Perry by Wm Perry
Sugg
S u g g Date: 2023.02.20
09:44:40-05'00'
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*
Triad Industrial Services, INC.
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00895
Enter the five digits following the NCS #
Street address of office*
Street Address
5301 Burlington Road
Address Line 2
City
State / Province / Region
McLeansville
NC
Postal / Zip Code
Country
27301
United States
County*
Guilford
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
3366978169
Email*
[e-mail]
Owner Info
Firm owner's name*
Ronnie Overbey
Mailing address same as street address of office?*
• Yes No
Phone* Fax
3366978169 3366970397
Operator Info
Firm operator's name* Firm operator's title
Ronnie Overbey Owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
3366978169 3366970397
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 0
Portable Toilet Waste 0
Grease (Restaurant) 225,000
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in:
Guilford
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*
10/7/2022
Title*
Owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Grease (restaurant) AA94634 lPMA1422XB1037914 6,500
Grease (restaurant) YA105823 1NKWX4EX69J252148 4,500
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.

Approved wastewater treatment plant*
Yes • No
Septage Land Application Sites (SLAS)
Yes • No
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-41-20 4/13/2032 41-20.pdf 998.76...
SDTF-41-04 8/31/2023 41-04.pdf 1.48MB
Other disposal method*
• Yes No
Description *
Carolina Compost / SWCD-29-10
Authorization
caroling 420.85...
compost.pdf
Septage Management Firm Operator Training Completed
Date* Hours*
1/28/2022 6
Location*
Hickory, NC
Training Sponsored or Provided by*
NC Septic Tank Association
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
10/7/2022
11:36:12 AM
Print Name* Title*
Ronnie Overbey Owner

rr
AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR
STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF
(ibis form is used by a detention or treatment facility permit holder to indicate that permission
has been gives) to a permitted Septage Management Firm to discharge 5eptage into the permit
holders detention or treatment facility-)
Jason Gibson
(Facility Operator)
588 Free Pilgrim Church Rd. Thomasville, NC 27360
(Operator Address)
da hereby authorize: Ronnie Over ---
{owner of Septage Management FIrm)
TfladInductrial Ss NjCeS _ _ _ NCS#
(Name of 5eptage Management Firm)
,Address of Septage Management Firm)
to utilize septage detention or treatment facility; - - forthe treatment or storage of
septage"
in zo 23 The facility will be operated in accordance with the Septage Management . uIF's
Date: q-98-72 SE
{Foci ty t3peratorj
As defined in G.S. 130A-290(a)(32j
As defined in SSA NCAC 138.0800
Return the properly completed form to:
North Carolina Department of Environmental Quality
pivisicn of Waste Management
Soild Waste Section
1645 Mail Service Center
Raleigh, NC 27G99-1646