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