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HomeMy WebLinkAboutNCS00922_2023Permit_Initial2023 Permit and Registration C&C Backhoe & Pumping is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00922 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. Cross Creek WRF/Rockfish Creek WRF, Fayetteville, 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 by Y Wm Perry Sugg Sugg 111:41:430 05'003 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* C&C backhoe The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) 00922 Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX) Street address of office* Street Address 2549 j herbert rd Eastover Address Line 2 City State / Province / Region Fayetteville North Carolina Postal / Zip Code Country 28312 United States County* Cumberland Mailing address same as street address of office?* • Yes No Phone* Fax 9103235738 Email* ccbackhoeseptic@yahoo.com Owner Info Firm owner's name* Kevin Carter Mailing address same as street address of office?* • Yes No Phone* Fax 9103235738 Operator Info Firm operator's name* Firm operator's title Kevin Carter Owner Mailing address same as street address of office?* 0 Yes No Phone* Fax 9103235738 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 185,000 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: * Cumberland hoke Roberson harrnett moore Sampson Johnston 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 rjtA nA Date* 12/29/2022 Title* Owner Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage Ya108355 1htmmaan1ah273492 2,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Approved wastewater treatment plant* 0 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 * Cross creek wrf - rockfish creek wrf 12/31/2023 167232393543... 1.33MB Septage Land Application Sites (SLAS) Yes • No Septage Detention or Treatment Facility (SDTF) Yes • No Other disposal method* Yes • No Septage Management Firm Operator Training Completed Date* Hours* 10/11/2022 6 Location* Smithfield 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 12/29/2022 09:18:36 AM Print Name* Title* Kevin Carter Owner dd iW f AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Depart en t of Environmental Quality 0 Division of Waste Management -OU11WasteSection 164.6 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 C 0#24382 Cross CreeKWRF./ Rockfish Cre� ek WRF (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) P.O. Box 1989 Fa etteville NC 283021a1089 (Address) (910) 223=4700 do hereby authorize Kevin Carter (Phone Number) (Owner/Operator of Septage Management Firm) of C & C Backhoe and Pumping NCS# 00922 (Septage Management Firm Name and NCS number) to dispose of: domestic septage x ,portable toilet waste 11 grease septage (grease trap pUMpings) commercial/industrial septage ,from Cumberland & surroundina counties (County or other Geographic Area) at the above named wastewater trea#ment facility. Septage shall be discharged at: between the hours of Facility Influent Pum Sunrise to Sunset Location) Station Re;c�tr�clucing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until December 31 023 igned 6001 Date ( o (reiiity Operator) Subscribed and affirmed before mee this (Notary Public) day of My Commission expires: 20. • SIM Note: Falsification of this document by the 510PIJUI munagoiriunt firm shrill lo�id to pormlt rovoc�t�i� _ S:/Soli'd_WasteICLAJSEPTAGE/FORMS/2O23 Firm ApplicatlonlWWTP AL111iorizallor7 Form 2023 ar Ire •r���r�i�1i1N►�a