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Home My WebLink AboutNCS00896_2023Permit_Initial2023 Permit and Registration Carolina Pipe Cleaning is hereby issued a Septage Management Firm Permit, ZNti STATE Permit Number NCS-00896 o and registered as a e:,e D NORTH EQ�J %L 12. 9* -�� Septage Management Firm�� w� ��nffii�utr 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 Detention or Treatment Facility, SDTF-34-06, SDTF-60-09 2. Rocky River Regional WWTP, Concord, 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 bywm Perry Sugg Sugg Date: 2023.02.20 09:45:11-05'00' 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* Carolina Pipe Cleaning Inc The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-00896 Enter the five digits following the NCS # Street address of office* Street Address 230 Emanuel Church Rd. Address Line 2 City State / Province / Region Rockwell NC Postal / Zip Code Country 28138 United States County* Rowan Mailing address same as street address of office?* Yes • No Mailing Address* Street Address PO Box 1183 Address Line 2 City State / Province / Region Rockwell NC Postal / Zip Code Country 28138 Rowan Phone* Fax 704-279-1151 704-279-3041 Email* carolinapipecleaning@gmail.com Owner Info Firm owner's name* Mark Cauble Mailing address same as street address of office?* Yes 0 No Mailing Address* Street Address PO Box 1183 Address Line 2 City State / Province / Region Rockwell NC Postal / Zip Code Country 28138 United States Phone* Fax 7042791151 704-279-3041 Operator Info Firm operator's name* Firm operator's title Mark Cauble President Mailing address same as street address of office?* Yes • No Mailing address* Street Address PO Box 1183 Address Line 2 City State / Province / Region Rockwell NC Postal / Zip Code Country 28138 Rowan Phone* Fax 704-279-1151 704-279-3041 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 0 Portable Toilet Waste 0 Grease (Restaurant) 100,000 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: Rowan Cabarrus 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 Date* 12/15/2022 Title* President Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Grease (restaurant) FJ5178 1FDWF70E9GDA02139 1,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Approved wastewater treatment plant* • Yes No 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* Liquid Enviromental Rocky River Septage Land Application Sites (SLAS) Yes • No Septage Detention or Treatment Facility (SDTF) Yes 0 No Expiration Date* Authorization 12/31/2023 Liquid 267.55... Enviromental 12.14.22.pdf 12/31/2023 Rocky River 378.3KB Auth 12.14.22.pdf Other disposal method* Yes • No Septage Management Firm Operator Training Completed^ Date* Hours* 10/19/2022 4 Location* Greensboro 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 (WWI " �6 Date 12/15/2022 10:07:40 AM Print Name* Title* Mark Cauble President 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.) I, Liquid Environmental Solutions (Facility Operator) Offices at 4826 Worth Place Charlotte NC 28216 and at 750 Palmer Lane Winston-Salem NC 27107 (Operator Address) do hereby authorize: Mark Cobble (Owner of Septage Management Firm) Carolina Pipe leaninq NCS # 3405 (Dame of Septage Management Firm) 230 Emanuel Church Rd Rockwell NC 28138 (Address of Septage Management Firm) to utilize septage detention or treatment facility # STDF 34-06 & STDF 60-09 for the treatment or storage of septage * in 2022-2023 . The facility will be operated in accordance with the Septage Management Rules Date: 10/31/22 Signed (Facilif Operat r) Joe MayWrry, Processing Facility Manager * 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 Environment and Natural Resources Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NO 27699-1646 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, NC27699-1646 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. 1, James Christian Sims #999309 Rocky River Re Tonal Wastewater Treatment Plant (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 6400 Breezy Lane, Concord, North Carolina 28025 (Address) 704-788-4164 x114 do hereby authorize Mark L Cauble 704-279-1151 (Phone Number) (Owner/Operator of Septage Management Firm) of Carolina Pipe Cleaning Inc NCS # 00896 (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 NO from Cabarrus and surrounding counties. (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: 6400 Breezy Lane, Concord, NC 28025 (Location) between the hours of 7AM and 7PM Monday -Saturdays Sunday upon request. Reintroducing partially treated liquid into a grease trap is acceptable Yes d No This authorization shall be valid until December 31, 2023 (Usually December 31, Year) Signed Date October 18 2022 James Christian Sims, Facility ORC Subscribed and affirmed before methis Angela HI16 No ary Public 18th day of October , 20 22 My Commission expires: May 15, 2025 °0 ..........f,/`''' Q. OTA,Q -off 0 �- ,,,�� 0.0 c....... pF` \.,. IVII Note: Falsification of this document by the septage management firm shall lead to permit revocation. �'iiri�rrurim+��""`,` S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018