NCS00939_2023Permit_Initial

2023
Permit and Registration
Stevens Septic Tank & Pump Service
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00939
oand registered as a e:,e D
NORTH CAROLINA
EQ�J
-�� Septage Management Firm awnen� f� wrnmenta�ity
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. Rocky River Regional WWTP, Concord, NC
2. McAlpine Creek WWTP, Charlotte, 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 111:42:42-05''00 3
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION —1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The "Firm name" must be exactly as it is shown on your vehicle(s)).
S+ vens 5e -r. ~Canit and Pump 5eruice
Street address of office: 3%19 N4W sojemR,d
City: C i � > State: Me- Zip:
Mailing address (if different):
City:
State:
9M
Phone: 9bq-ZV-,1 L037 ��11 Fax:
E-Mail: �J+,Fyws iY'I,ICI(n Q 0,g I . c on •
County: Qht n Septage Management Firm permit number: NCS # -jxq3q
(2.) Firm owner's name: Ce,i L 54C Irl.
Mailing address (if different):
City:
State: Zip
Phone: 90-rtVq-IUI^i Fax:_
(3.) Firm operator's name: Lhus Firm operator's title: L
Mailing address (if different):
City:
Phone:
State: Zip:
Fax:
(4.) Type(s) of septage pumped: Write in the number of gallons pumved in last 12 months (Example: Domestic: 50,000).
Domestic Portable Toilet Waste I Grease (Restaurant) Treatment Plant Industrial/Commercial
(5.) N.C.Counties of
county you are authorized to
(6.) Total Number of Pumper Vehicles Operated:
Number used for: Domestic Septage: _ Grease (restaurant):
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
License Tag # Vehicle Identification # Tank Capacity
535 F V 0111 8 4 5'+1 540 GaMW
2 y A 11a4n45 I wTM SS-CRGG 011141-1 4000
APPLICATION CONTINUED ON PAGE 2

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.
I, James Christian Sims,_#999309. Rocky River Reg ional 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 Teri v Stevens 704-289-7637
(Phone Number) (Owner/Operator of Septage Management Firm)
of Stevens Septic Tank & Pump Service NCS # 00939
(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 -Saturday: Sunday upon reguest.
Reintroducing partially treated liquid into a grease trap is acceptable_ Yes V No
This authorization shall be valid until
December 31, 2023
(Usually December 31, Year)
Signed --
James Christian Sims, Facility ORC
Subscribed and affirmed befo, a methis
Angela Hill, Notary Public
Date October 18. 2022
18th , day of October
My Commission expires: May 15.
(OFFI
20 22
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 2018

CHARLOTTE
W6TER
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT
FACILITY
I, Bill Gintert / Environmental Compliance Mang er
Charlotte Water - System Protection CLTWater - SP
4222 Westmont Drive Charlotte NC 28217 704-336-4407
Do hereby authorize Ter Stevens -
(Authorized Representative)
Of
Stevens Septic Tank
(Septage Management Firm Name)
To dispose of Septage X Portable Toilet Waste X
Note: 1) Grease trap waste is not allowed at the disposal sites.
2) Re - introducing partially treated liquid into a greasetrap .is not allowed in the
Charlotte Water system.
From: Mecklenburg Countv and Surroundin Areas;
reas;
(County or other Geographic Area)
At the below named Wastewater Treatment Facility; Septage shall be discharged;
McAlpine Creek Wastewater Treatment Plant MCWWTP Septage Receiving Station
Between the hours of 7:30 a.m. until 11:00 a.m. and 12:00 p.m. until 3:45 o.m. Mon. -Fri:
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.
This authorization will be effective: January 1st 2023
This authorization shall be valid until: December 31st 2023
Signed: Date: 0��-
(Environmental Compliance Manager)
Note: Falsification of this document by the Septage management firm shall lead to permit revocation.

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North Carolina Department of Environmental Quality
Division of Waste Management
INVOICE
NORTH CAROUNA
BnvB-onm¢ntat Qnadiff Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Phone/Fax: [phone]
Email: [e-mail]
To: Terry Stevens
P
Aw-,u
CK. N0, __ I S W6
DATE
000• ov
Septage - Annual:
Stevens Septic Tank & Pump Service (NCS-00939)
3317 New Salem Road
Monroe, NC 28110
Number of Trucks: 2
Stevens Septic Tank & Pump Service
3317 New Salem Road
Monroe, NC 28110
Date Due:
Date: 09/27/2022
Invoice #: NCS-00939-2023
LATE FEES: i i accordance with INC Uenwal Statutes C-1.130A-291.1(e2), a late tw will be applied to any annual permit fees not submitted by January 1, 2023,
Payment Options:
E-check Available online at 1.
-
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.
[*Convenience 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.
(G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Explanation of Invoice Amount is Based o:- Firm'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 Jared Wilson [phone]
Regulations or Technical Assistance 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 -