NCS00901_2023Permit_Initial

2023
Permit and Registration
Maples Septic Tank Service
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00901
oand registered as a e:,e D
NORTH CAROLINA
EQ�J
%L iZ. ��
-�� Septage Management Firm awnen� f� wrnmenta�lty
4sr
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. Big Buffalo WWTP, Sanford, NC
2. North Harnett Regional WWTP, Lillington, NC
3. Town of Siler City WWTP, Siler City, NC
4. Moore County Water Pollution Control Plant, Aberdeen, 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 Perry "I"'llysigned by
Wm Perry Sugg
0
Sugg 115:05 22-05''00'2
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*
Maples Septic Tank Service
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-00901
Enter the five digits following the NCS #
Street address of office*
Street Address
80 Thomas Kelly Rd
Address Line 2
City
State / Province / Region
Sanford
NC
Postal / Zip Code
Country
27330
United States
County*
Lee
Mailing address same as street address of office?*
• Yes No
Phone* Fax
919-258-3750 919-258-3914
Email*
[e-mail]
Owner Info]
Firm owner's name*
Terry Maples
Mailing address same as street address of office?*
• Yes No
Phone* Fax
9193565785
Operator Info
Firm operator's name* Firm operator's title
Terry Maples Owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
9193565785
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 250,000
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:
Moore, Lee, Chatham, 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
Date*
12/12/2022
Title*
Owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage*
License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage
YA131911 1FVOCXDC27HY72947 2,600
Domestic Septage
YA169914 1FVACXDT7ADAR1214 2,600
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*
Moore County Water Pollution Control
Plant
Big Buffalo Waste Water Treatment
Plant
North Harnett Regional WWTP
Chatham County Headworks
Septage Land Application Sites (SLAS)
Yes • No
Septage Detention or Treatment Facility (SDTF)
Yes • No
Expiration Date* Authorization
6/28/2027 Document 202... 943.02...
12-
12_191942.pdf
6/6/2027 2022-12- 1MB
12_192228.pdf
2/10/2024 Document 202... 859.79...
12-
12_192357.pdf
1 /24/2024 Document 202... 837.77...
12-
12_192527.pdf
Other disposal method*
Yes • No
Septage Management Firm Operator Training Completed^
Date* Hours*
10/10/2022 6
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
�K�
Date
12/12/2022
07:02:01 PM
Print Name* Title*
Terry R Maples 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, 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, Stephen G Mor an, CRC, Biological WW Operator 4 4997509, Moore County Water Pollution Control Plant
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
910-947-4345
(Phone Number)
of ,4?A]4, -5
1094 Addor Road Aberdeen, forth Carolina 28315
(Add ress) do hereby authorize ��,,��.►�V MeIV4_:/
(Ownner/Operator of Se tage Management Firm)
V! as
Management Firm Name and NCS number)
to dispose of: domestic septage Yes portable toilet waste Yes
NCS #
grease septage (grease trap pumpings) No commercial/industrial septage , from
Within the boundaries of Moore County, North Carolina OR a contracted service area of the WPCP
(County or other Geographic Area)
at the above named wastewater tre at ment facility. Septage shall be discharged at:
Septic Receiving Station located at the Moore County VVPCP (unless otherwise specified by the CRC)
(Location)
between the hoLirS of T00am to 5:00prn, Monday thru Friday (excluding observed holidays)
Reintroducing partially treated liquid into a grease trap is acceptable Yes No No
This authorization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed Date � �� . _
(Facility Operator)
Subscribed and affirmed before me this q44
(Notary Public) Samuel A Ring
day of D2CE;14b4tr , 20 42-2.
My Commission expires: June 28. 2027
Samuel A Ring
, je"
NOTAI^!
Moore County, NC
Note. Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/sEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2019

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management - Safid Waste Section,
1646 Mail Service Center, Raleigh, NC 27699-1646
Pee 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, Billy J. Thomas Grade IV WW # 995445), ❑RC North Harnett Regional WWTP
NPDES # NCO021636
607 Edwards Brothers Drive Lillington NC 27546 910-893-2424
do hereby authorize -cif \ a _ s
{this will al o include dulv a000inted drivers of the camnnnv]
to dispose of: domestic septage and/or portable toilet wastes at the above named WWTP.
Septage shall be discharged at: Septage Receiving Station at NHRWWTP
between the hours of 7 AM-5 PM Nov -Mar and 7 AM-6 PM Apr -Oct
Mon -Fri (except Holidays)
This authorization shall be valid until 12-31-23
Signed [I r Date ! �z
(5
(Facility Operator)
ubscribed an1v affirmed before me this day of , 2022
W My Commission expires: FEB 10 2024
(OFFICIAL SEAL)
pFF1ClAL SEAL
Notary
Public, �lotth caso ma
County of Hamett
90 Carolyn K. Mur'ayama
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/ClA/SEPTAGE/FQRMS/201.6 Firm Application/WWTP All[hOriZatl0r7 Form 2017

AUTHOMAMN TO DBCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACUTY
North Carolina Department of Environment and Naturai Resources
Division of Waste Management - Solid Waste Section
401 Oberlin Rd., Ste. 150, Raleigh, N.C. 27505
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 Siletzkv Big Buffalo Waste Water Treatment Plant
(Plant Operator and Name of Plant)
5327 Iron Furnace Rd., Sanford NC 27330
(Address)
�919)775-8305 do hereby authorize Terry Maples
(Phone Number) (Owner/Operator of Septage Management Firm)
of Maples Septic Tank Service NCS # 00901
(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
Lee County" Only"
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
5327 Iron Furnace Road
( Location)
between the hours of _ 7am-72m Monday _Sunday
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed � 4� 7 Date -So-P�:L
r (Facility Of&aA d
Sworn to and subscribed before me this ;= day of jZef ri 20 -a �2
°'�. My Commission expires: C) t" - Gl r`,❑
J + -1 (!Votary Public)
-J)" lre)"1 � . A 0 (OFFICIAL SEAL)
Note: Falsification of this document by the septage management firm shall lead to permit revocation.

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.
Brittany York, 1007288, Town of Siler City
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
Pa Box 769, Siler City, NC 27344
(Ad d ress)
(9191742-4581 _d❑ hereby authorize Terry Maples
(Phone Number) (Owner/Operator of Septage Management Firm)
of Maples Septic Tank Service NCS # 010901
(Septage Management Firm Name and NCS number)
to dispose of: domestic Septage x , portable toilet waste
x
grease septage (grease trap pumpings) No
Chatham County
commercial/industrial septage No from
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Headworks
(Location
between the hours of Mori - Fri 7:00 am - 4: 0 pm
Reintroducing partially treated liquid into a grease trap is acceptable Yes x No
This authorization shall be valid until ❑ec31, 2023
(Usually December 11, Year}
Signed Date Z01,29 1222-
(Facility Operator)
Subscribed and affirmed before me this a2�D -clay of 00-,:��-
'-, -
My Commission expires:
(Notary Public) t-tl:d ir2
r
{G1Fpl�►'jri
�VE;t1G
Note: Falsification of this document by the septage management firm shall lead t4 itte�► t;q�ti j
S:/Solid_Waste/CLA/SEPTAGE/FGRM5/2018 Firm Application/WwTP Authorization Form 2018 - 1
d��'JJd1137►t�

North Carolina Department of Environmental Quality
Division of Waste Management
INVOICE
Solid Waste Section
.:rtascn.•:ten:cf i2ucfery
Division of Waste Manaaement To: Terry R Maples
Solid Waste Section Maples Septic Tank Service
1646 Mail Service Center 80 Thomas Keliv Rd
Raleigh, NC 27699-1646 S NC 27330
Phone/Fax: [phone]
Email: [e-mail]
CK. NO. PA
27
DATE Z" Date: 09/27/2022
8 w.1V Invoice #: NC5-00901-2023
Septage - Annual:
Maples Septic Tank Service (NCS-00901)
8.0 Thomas Kelly Rd $800.00
Sanford, NC 27330
Number of Trucks: 2
Date Due: 12/1512022
LATE FEES_ appiie
Payment Options:
E-check Available online at
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account If a zip code is not listed, use the code: 99999 along with the invoice number_
Credit Card Available online at
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number shown;
on this invoice to access your account If a zip code is not listed, use the code: 99999 along with the invoice number.
rConvenience Fee of 2.65% added to amount invoiced.}
Paper check Make checks payable to N.C. Division of Waste Management Solid Waste Section, include Permit Number and invoice number on
check_ If you are paying by electronic transfer, include the invoice number with your electronic transfer Please return a copy of this
invoice with your payment
(GS. 25-3-506, A $25.00 processing fee will be charged on all retumed checks.]
Exdanation of Invoice Amount is Based on F.irm's Current Permit Status:
Pursuant to North Carolina General Statute 130A-291.1 you are required to pay fee(s) based on your solid waste management
activities. The fee(s) shall be used to support the septage management program.
For questions regarding:
Billing
Regulations or Technical Assistance
Jared Wilson [phone]
Chester Cobb [phone]
Jeffrey Bullard [phone]
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) -
North Carolina Solid Waste Program -
North Carolina Septage Management Program -

NC SEPTAGE MANAGEMENT FIRM
Recertification of Pumper Vehicle(s)
Septage Firm Permit M NCS- Q '10 f
Number of Pumper Vehicles: `
CERTIFICATION:
"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the
submitted permit application meet the requirements for safe and sanitary
transportation of septage as required by15A NCAC 13B .0844 (a) and vehicle
lettering as required by 15A NCAC 13B .0844 (b). I also certify that a log is
maintained of each septage pumping event as required by 15A NCAC 13B .0839
(a). I am aware that there are significant penalties for false certification including
the possibility of fine and imprisonment."
/2 r 2 ;' 2,-,)2.2_
gna*!!t�*nature of company of kiat required)
Print
Date
Tide
S:lSolid_WastelcialseptagelformsWumper Vehicles Cetification.doc

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