NCS00977_2023Permit_Initial

2023
Permit and Registration
Advanced Portable Toilets (Morehead City)
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NORTH CAROLINA
Environmental Quality
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-00977
and registered as a
Septage Management Firm
(PUMPER)
in the State of North Carolina.
PlORTH CAROLiNA �EQ
wll�pl
Department of Environmental Quality
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. Town of Morehead City WWTP, Morehead City, NC
2. Scientific Water and Sewer, Jacksonville, 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
Date: 2023.02.23
Sugg 11:47:24-05'00'
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*
ADVANCED PORTABLE TOILET
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-977
Enter the five digits following the NCS #
Street address of office*
Street Address
802 Fontana Blvd
Address Line 2
City
State / Province / Region
Havelock
North Carolina
Postal / Zip Code
Country
28532
United States
County*
Craven
Mailing address same as street address of office?*
Yes • No
Mailing Address*
Street Address
321 Jeffries Road
Address Line 2
City
State / Province / Region
Rocky Mount
NC
Postal / Zip Code
Country
27804
United States
Phone* Fax
2524433670 2524423193
Email*
[e-mail]
Owner Info
Firm owner's name*
Brian James
Mailing address same as street address of office?*
• Yes No
Phone* Fax
2524433670 2524423193

Operator Info
"J
Firm operator's name*
Firm operator's title
Brian James
President
Mailing address same as street address of office?*
Yes • No
Mailing address*
Street Address
321 Jeffries Road
Address Line 2
City
State / Province / Region
Rocky Mount
NC
Postal / Zip Code
Country
27804
United States
Phone* Fax
2524426013 2524433193
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 1,800
Portable Toilet Waste 85,600
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Carteret, Craven, Onslow, Lenior, Green, Pitt
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*
12/14/2022

Title*
President
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Portable Toilet Waste JK8745 1FDVF5HT4KDA09447 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* Expiration Date* Authorization
Morehead City WWTP 12/31/2023 2023 895.77...
Adavanced
Portable
Hauler Form
mhc.pdf
Scientific WWTP 12/31/2023 Jacksonville 321.02...
wwtp 2023.3pg
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*
12/3/2022 4
Location*
NC State Fair Ground

Training Sponsored or Provided by*
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed^
Date Hours
0
Location
Training Sponsored or Provided by
Registration Type `�j
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
12/14/2022
03:10:27 AM
Print Name* Title*
Brian James President

11110122, 9:59 AM
Mail - Brandi Thomas - outlook
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AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Clua'ity
Division of Waste Management - 501id Waste Section
1646 Mail Service Center, Raleigh, NC 27699-164.5
Fee assessments and waste determinations will he required at the discretian of the wastewater
treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incoming wastewater stream.
(Plant Qperatnr in Responsible Ch&Me (iRC), !RC Lkense Number, Name of Plant)
�,.
[Addressj
do hereby authorize }r! , urn r� rTt. •��
(Phone Number) 1Ownerl0perator of Sep tage Management Firm;
of�.. '1
Ncs a 97 7
(Septage Management Firm Name and NC5 number)
tv dispose of domestic septage portable toilet waste j
grease septage {grease trap pumpings} corn mercial/industrial septage _ , from
(County or other Geographic Area)
at the above named wastewater treatment facility. Sept age shall be discharged at.
Reintroducing partially treated liquid into a grease trap is acceptable Yes )L—No
This authorization Shall b valid until 1
(Use:ally Decemher 3 ,Year}
Signed �` •`/ Date —
(Facility Operator)
Subscribed and affirmed before me this l day of 20�
My Commission expires: _ ` l"I r Oi Da LP {Nota Public)
(OFFICIAL SF.0 B R,4' V IV
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o
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Note: falsification of this document by the septage managementfirm shall lead to permit revoitm ; G Q ?
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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 7699-1646
Fee assessments and waste determinations will be required at the discretion of the wastewater
treatment fa-cility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incoming wastewater strearn. �"'L
13 ��F( 4."'kq—f1 C'
(Plant Operator in Responsible Charge (QRC), CRC license Number, Name of Plant)
r ,
1
arti P
f (Address)
_-- do hereby authorize
(Phone Number) (Owner/Gptrator of Septage Management Firm)
of [1�4CIO ' { _ N US# q j
P. �Septage Management Firm fume and NCS number)
to dispose of. domestic septage , portable toilet waste
grease septage (grease trap pumpings) commercial industrial septageo �6 , from
J
I (Cou my or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at;
k, u
(Laca#ign)
between the hours of t
Ld
Reintroducing partially treated liquid into a grease trap is acceptable _1(es
7
This authorization shall be valid until
Signed
Sub
(Notary
ty uperator)
(Usually
,cember 31, Fear)
Date
No
day of
4 `
My Commission expires-Ma"I 0
4�G '
(OFF ICIAL' SEAL )
Al
T70
Noce: Falsifi"Rion of this document by 01C WJAOge n1ariagen1eryt fiml shall lead to permit reuocatlo".
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