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Home My WebLink AboutNCS00999_2023Permit_Initial2023 Permit and Registration Ellis Tew & Charles Barber Septic Tank Cleaning y0�r o.1),� I�PI7i112 T;* a E'pun vtu NORTH CAROLINA Environmental Quality is hereby issued a Septage Management Firm Permit, Permit Number NCS-00999 and registered as a Septage Management Firm (PUMPER) in the State of North Carolina. e:de D E NORTH CAROLINA � Department of Environmental llty 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 Detention or Treatment Facility, SDTF-82-21 2. 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 Digitallysigned Perryby Wm Perry Sugg Sugg 13:5131-05''003 Perry Sugg, Environmental Compliance Branch Head PDF.js viewer 11/7/22, 7:06 PM 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 gw& as it is shown on your vehicle(s)). 1::1/;S j i5W -r' C1-Y,Ar5 ►&t-bez r Street address of office: 3109 l)wV !y I- i City: SA- 1'eM:-k-r<; _ State: N-C Zip: Q058 Mailing address (if different): - City. State: Zip Phone: ;'l: _�f�►'7-�i.5% Fax: E-Mail: ?C County: ZSArnP-S o ry Septage Management Firm permit number: NCS # 00791 rn z P (2.) Firm owner's name: j5%r,6S ' f � W Mailing address (if different): 9 391 b wAl 10d A .� City: _ SPr 1 hw rs State: H-C Zip 49?3 9 °v H � . Phone: qj 1�7-a567 Fax: d (3.) Firm operator's name: C hG'r e 5 i3z r- r C Firm operator's title: Mailing address (if different): "OR QL4Yvry Rof y City:'S A ��,K•� c� �� _ .- State: fV" C, Zip: P e3 8 -I;- Phone: 910 _,-2 / - O /5l Fax: (4.) Type(s) of septage pumped: Wfite in the number ofgAllons numned in last 12 months (Example: Domestic: 50,000). Domestic J Portable Toilet Waste Grease (Restaurant) Treatment Plant industriaVCommercial iqS ur9�� (5.) N.C. Counties of Operation: SA r^ Psi eL,—h-- )A'\4 , H c: rwc 3 Ce ti w.5 c? :a I - ( List each county you are authorized to do business in) (6.) Total Number of Pumper Vehicles Operated: . Number Number used for. Domestic Septage: Grease (restaurant): - Other. Portable Toilet Waste: Vehicle Information: (use additional paper if needed) License Tag # Vehicle Identification # Tank Capacity 1 A- 5017.x /,YP-A4Tbx-3- M5997 '4500 " it ems• 2 -A - I o,18 to 5; A n, H 1818 PC, 0089 3t50 0 6A 110w' 4 5 APPLICATION CONTINUED ON PAGE 2 https://edocs.deq.nc.gov/WasteManagement/PdfViewer.aspx?file=...D1485715%26dbid%3D0%26repo%3DWasteManagement%26pdfView%3Dtrue Page 1 of 3 PDF.js viewer 11/7/22, 7:06 PM 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) (✓f 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? (✓) yes ( ) no Initial GR'6 Date I f _I'I_.;I --I. (8.) Septage Disposal Method: (check one) a) Approved wastewater treatment plant: (✓f yes ( ) no. If yes, submit Wastewater Treatment Authorization for each plant, as indicated in Subparagraph .0834(c)(14) of the Septage Management Rules. b) Septage Land Application Site (SLAS) Permit Numbers: (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#: fraA l _Expiration Date: ? SDTF#:____ Expiration Date: _ (9.) Septage Management Firm Operator Training Completed: Date: /0 /%, 3OZA2- Location: N-c Hours: Training Sponsored or Provided by: /rtC0WCIC R (10.) Septage Land Application Site Operator Training Completed: Date: Location: Training Sponsored or Provided by: (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. --v ]4� Signature (Signature of companyofffcial requirneq Date https://edoes.deq.ne.gov/WasteManagement/PdfViewer.aspx?file=...D1485715%26dbid%3DO%26repo%3DWasteManagement%26pdfView%3Dtrue Page 2 of 3 PDF.js viewer 11/7/22, 7:06 PM Elli'sy ' 1 C-7 k - N EW Print Name Tide Other Comments: PAGE 2 Rev. 04-26-2021 https://edocs.deq.nc.gov/WasteManagement/PdfViewer.aspx?file=...D1485715%26dbid%3D0%26repo%3DWasteManagement%26pdfView•/3Dtrue Page 3 of 3 NC SEPTAGE MANAGEMENT FIRM Recertification of Pumper Vehicle(s) Septage Firm Permit #: NCS- op 1;1r, 9 Number of Pumper Vehicles: 3 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 (Signature of company official required) �/ l is l/ % tom✓ Print Name Date Title //—/ 4/ 2 Z v 6J,1\/5-1,z S:lSolid_WastelclarseptagelformslPumper Vehicles Cetification.doo 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, 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 McCoy #24382 Cross Creek WRF / Rockfish Creek WRF (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) P.O. Box 1089 Fayetteville, NC 28302.1089 (Address) J(9101223-4700 do hereby authorize Ellis Tew ! Charles Barber (Phone Number) (Owner/Operator of Septage Management Firm) of Ellis Tew & Charles Barber Septic Tank Cleaning NCS# 00999 (Septage Management Firm Name and NCS number) to dispose of: domestic septage X portable toilet waste , grease septage (grease trap pumpings) commercial/industrial septage from Cumberland. Sampson & Harnett counties (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Facility Influent Pump Station (Location) between the hours of Sunrise to Sunset Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until December 31 Signed ALA 06,�i Date /4 [ 1( 1.2Z (Facilit Operator) Subscribed and affirmed before me this day of 20 jt'w� My Commission expires: 1W (Notary Public) ��,•/u uufus ,%% ZH Note: Falsification of this document by the septage management firm shall lead to permit revocation,.g �G . S:/Solid_Waste/CLA/SEPTAGE/FORMS/2023 Firm Application/WWTP Authorization Form 2023