NCS00953_2023Permit_Initial

2023
Permit and Registration
D & D Organic Farming LLC (DBA Royal Thrones Lavatories)
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00953
oand registered as a
-�� Septage Management Firm e:de D E
��en� f� w� nmenta�llty
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 Land Application Site, SLAS-98-08
2. Septage Detention or Treatment Facility, SDTF-98-08
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
PerryWm Perry Sugg
Sugg 111:44:24-05''003
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 a ate& as it is shown on your vehicie(s)).
D&D Organic Farming, DBA Royal Throne
Street address of office:
City: Fremont
441 Buck Newsome Rd.
Mailing address (if different):
State: NC Zip: 27830
City: State: Zip _
Phone. [phone] pax: _
E-Mail: [e-mail]
County. Wayne
(2.) Firm owners name: Daniel L Newsome
Mailing address (if different):
City:
Phone:
Septage Management Firm permit number: NCS # 00953
State: Zip
ax:
(3.) Firm operators name: Daniel L Newsome Firm operators title: Owner/Manager
Mailing address (if different):
City:
State: Zip:
Phone: Fax:
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(4.) Type(s) of septage pumped: Write in (umber of aallons n .mned in last 12, months (Example: Domestic: 50,000).
Portable Toilet Waste I Grease (Restaurant) I Treatment Plant
0 l 0
(5.) N.C. Counties of Operation: All NC counties
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operited: _ 1
Number used for: Domestic Septage:__
Other:
Vehicle Information: (use additional paper if needed)
Grease (restaurant): 1
Portable Toilet Waste: 4
APPLICATION CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PER .IT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) ( x) yes ( ) no.
If you checked yes above, you must attest to the following statement before a permit may be issued.
"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 are significant penalties for false certification including the
possibility of fine and imprisonment."
Do you attest to the statement above? ( x) yes ( } no Initial_ Date 12/12/22_
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant ( ) yes ( x ) no. if yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0834(c)(14) of the Septage Management Rules.
b) Septage Lgagd&plication Site (SLAS) Per *)*� ers: (use additional sheets if needed)
SLAS# Expiration Date: SLAS#: __ _ Expiration Date:
c) Septage Detention or Treatment Facility (SDTF)) Permit Numbers: (use additional sheets if needed)
SDTF#. Expiration Date: _ 12/3i/22 _ SDTF#: Expiration Date:
(9.) Septage Management Firm Operator Training Completed
Date: 9/8/22 Location: Washington, Hours: n
Training Sponsored or Provided by: _ NCSTA
(10.) Septage Land Ap lication Site Operator Training Complete
Date: Vg/2ashin2 Location: gton
Training Sponsored or Provided by: NCS T A
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm: x
Certification Statement
Hours: 4
I certify that the information and representations in this application for a pennit 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 maternally affected the decision to issue the permit and that there are
crimi9al.1penaities for knowingly making a false statement, representation, or certification.
12/12/22
Signature (Sign companyomcfal required) Date
Daniel L Newsome
Print Name
Other Comments:
Owner/Manager
Title
PAGE 2
Rev. 04-26-2021

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 treatmentfacilitv.)
I, Daniel L. Newsome
(Facility Operator)
441 Buck Newsome Road Fremont NC 27830
(Operator Address)
do hereby authorize:. Daniel L Newsome
(Owner of Septage Management Firm)
Royal Throne Lavatories dba D&D Organic Farming, LLC NCS # 00953 _
(Name of Septage Management Firm)
441 Buck Newsome Rd., Fremont NC 27830
(Address of Septage Management Firm)
to utilize septage detention or treatment facility # 00953 f 98-08 for the treatment or storage of
septage *
in 2023 . The facility will be operated in accordance with the Septage Management Rules **.
r
Date: 11/01/22 Signed
Facility Operator)
* As defined in G.S.130A-290(a)(32)
** As defined in ZSA NCAC 136.0g00
Return the properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646

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ETC SEETAGE MANAGEMENT FIRM
Recertification of Pumper Vehicle(s)
Septage Firm Permit #: NCS- 00953
Number of Pumper Vehicles: 1
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."
Signature (Ware mpany otrrciai required)
Daniel L Newsome
Print Name
12/12122
Date
Owner/Manager
Title
S:lSolid WastelcialseptagelformsU3umper Vehicles Cetification.doe