NCS00100_2023Permit_Initial

2023
Permit and Registration
Pauls Septic Tank Pumping
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00100
o and registered as a
e:,e D
NORTH
EQ
4%L 12. 9*
-�� Septage Management Firm�� �� w� ��nffii�utr
E� 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. Septage Land Application Site, SLAS-83-03
2. Septage Detention or Treatment Facility, SDTF-83-03
3. Moore County Water Pollution Control Plant, Aberdeen, 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: 2023.02.22
Sugg 115.03:42-05 00?
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SE7y10E NTER, RALEI NC 27699.1646
VAS U� �`�. I WED
(1.) Firm name: (The "Firm name" must be as it is shown on yo . hicle(s)). r PC
^--r,e� �.� I.s s P.4 �E r ",v4- 04v,_n, jEC 19 2022
Street addrest of office:
d
City:
State: ! Zip:__ _ , _I a, 9�0 sECTIpN
Mailing address (if different):
City:
State: Zip
Phone:
Fax:
E-Mail:
County: Se�r�l,4td1
Septage Management Firm permit number: NCS # G6 >sa��
(2.) Firm owners name: ix 1 i As != ❑ l-d
r v k.' e�5
Mailing address (if different): _311q gr'�`C���k
City:
State: 7 Zip .��g(e
Phone: C
Fax:
(3.) Firm operator's name: j&) �` A, ifv 1Ld
2�L `rl &_ 5 Firm operator's title: b 10 k) e E -
Mailing address (if different):
City: rL.a� tM _
State:�Zip:. S b
Phone: �!/>d- Z R/ _�j' C%5'
Fax: � 7 �
(4.) Type(s) of septage pumped: Write in the
number of gallons pumped in last 12 months (Example: Domestic: 50,000).
Domestic
Portable Toilet Waste
Grease (Restaurant)
Treatment Plant Industrial/Commercial
1 19 1.J ,_`7
W.i 1
/ 4l
(5.) N.C. Counties of Operation: M &,&Lj4 I- _4C44a
(List each county you are authorized to do business in)
(6.)
Total Number of Pumper Vehicles Operated:
Number used for: Domestic Septage:
Other:
Vehicle Information: (use additional paper if needed
01
Grease (restaurant):
Portable Toilet Waste:
License Tag #
Vehicle Identification #
Tank Capacity
Soo
2
D
lvS
.O(i
3
4
— --
5
APPLICATION CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) ( ) 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? (V)yes ( ) no Initial f, Date 1 i- 3z-,
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( j/) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0834(c)(14) of theSeptage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed) ,
SLAS#:f; 3- 63Expiration Date: J-/- aV SLAS#: -�-j:p3Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: Expiration Date: `t SDTF#:AA Expiration Date: Q -QZ
(9.) Septage Management Firm Operator Training Completed:
Date: 1 b - !9 -.a/, 24 Location: A ILa D'At' r cvi,04 �ZC, Hours:
Training Sponsored or Provided by: . R C S j4
(10.) Septage Land Application Site Operator Training Completed:
Date: r 6- i 9- n/-) �Location:
Training Sponsored or Provided by: N(_ S �-A
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours:._
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 (Si Lure of co anyofficial required)
Print Name
Other Comments:
so- ovl;)D.
Date
,--? IAJ
Title
Rev. 04-26-2021
PAGE 2

Permit No. 2021SP-12
MOORE COUNTY BOARD of COMMISSIONERS
WATER POLLUTION CONTROL PLANT
SEPTIC DISCHARGE PERMIT
This permit is issued in accordance and compliant with the provisions of the Moore
County Code of Ordinances and Sewer Use Ordinance as well as other lawful standards
and regulations promulgated and adopted by the North Carolina Department of
Environmental Quality, and the Federal Water Pollution Control Act. ,
Permit Number: 2021SP-12
Issued to: Apaul's Septic Tanks Service
31149 Hill Creek Road
Wagram, NC 28396
Is hereby authorized to discharge septage collected from within the boundaries of the
County of Moore to:
Moore County Water Pollution Control Plant
Aberdeen, NC
Moore County
In accordance with discharge limitations, monitoring requirements and other conditions
set forth in Parts I and II hereof.
This permit shall become effective January 1, 2021.
This permit to discharge shall expire at midnight on December 31, 2026.
Signed this day of A10ye'W-4e'
Stephen Morgan, Superintendent
Moore County WPCP