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HomeMy WebLinkAboutNCS01036_2023Permit_Initial2023 Permit and Registration We Pump It is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-01036 o and registered as a e:,e D NORTH EQ�J %L 12. 9* -�� Septage Management Firm�� �� w� ��nffii�utr E,%r Q'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. Town of Siler City WWTP, Siler City, 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. Digitally signed Wm PerrybyWm Perry Perry Sugg Sugg Date: 2023.02.23 3;57•52-05'00' Perry Sugg, Environmental Compliance Branch Head [DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 (NAIL SERVICE CENTER, RALEIGH, NC 27699.1646 (1.) Firm �na�mle: (The "Firm name" must be exactly as it is shown on your vehicle(s)). V V f- pQ'�7 -I.— Street address of office: `5 �L ��r . L City. State; syc. Zip: 2-,—t Mailing address (if different): City: State: Zip Phone: Fax: E-Mail: County: C)nCA4, u n Septage Management Firm permit number: NCS # d t o3 f- (2.) Firm owner's name: i; Vkc-, �N Mailing address (if different): City: Phone: State: Zi Fax: 3. Firm o-eratues name: \' OO�-, \ �� _ Firm operator's title; Mailing address (if different); City: State, Zip: Phone: Fax: (4.) Type(s) of septage pumped, Mfe i (Example, Domestic 50,000). Domestic Portable Tcilet Waste Grease (Restaurant) Treatment Plant IndUstrlaI� Gommercial �,b� DDT (5.) N.C. Counties of Operation: (List each county you are authorized to do business in) (6.) Total Number of Pumper Vehicles Operated, z- Number used for: Domestic Septage: 2 Grease (restaurant): Other: Portable Toilet Waste: Vehicle Information: (use additionai paperif needed) License Tag # Vehicle Identification # Tank Capacity 1 C z 14-15-0 2 yA1.53Do- Vckc.wc3 ac.l-t+Vj0zqE?� t o , 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? ( +/ryes ( ) no Initial�o4f Date 2.- z- -as (8.) Septage Disposal Method: (check one) a) Approved wastewater treatment plant: (✓) 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#: Expiration Date: SDTF#: Expiration Date: _ (9.) Septage Management Firm Operator Training Completed: Date: Location: Training Sponsored or Provided by: (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: 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. &- - a--� V&ml- Signature (Signature of companyofficialrequired) o au- C-� nJct -4-1 11 Print Name Other Comments: Date Title 2: 2 ` �-)J Rev 04-26-2021 PAGE 2 NC SEPTAGE MANAGEMENT FIRM Recertification of Pumper Vehicles) Septage Firm Permit # Number of Pumper Vehicles: CERTIFICATION. N CS. n 103 o.Z "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 .083E (a). I am aware that there are significant penalties for false certification including the possibility of fine and imprisonment." 21d,Q, 21, o Signature (Signature of company official required) Print Name .Z 2 - �2- 3 Date () Wn.-r Title S:ISolid_WastelclalseptagelformslPurn per Vehicles Cetification.doc I N w a • 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 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. Brittany York, 1007288, Town of Siler City (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) PO Box 769, Siler City, NC 27344 (Address) 919) 742-4581 do hereby authorize Bruce Hall (Phone Number) (Owner/Operator of Septage Management Firm) of We Pump It NCS # 01036 (Septage Management Firm Name and NCS number) to dispose of: domestic Septage X portable toilet waste X grease septage (grease trap pumpings) No commercial/industrial septage No , from Chatham County (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Headworks (Location between the hours of Mon - Fri 7:00 am - 4: 0 pm Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until Dec. 31. 2023 (Usually December 31, Year) Signed (Facility Operat ) Date SubscribeVa� affirmed before me this day o 20 My Commission expires: (Notary Public) a I0ra91 �,•�`,`C,LEL4 e- o� 0 }' 2 Not SV li/Solid Wastfication of this document by the septage e/CLA/SEPTAGE/F RMS/ 018 Firm Applicat on WWTP Authorization on Forent m 2018 lead to pe�nit igvocat01n®®� C•O; ``S Iga North Carolina Department of Environmental Quality ' Division of Waste Management INVOICE NORTH CAROLINA „vvo,wr¢,any Solid Waste Section Division of Waste Management To: Robert Bruce Hall Solid Waste Section We Pump It 1646 Mail Service Center 3845 McLaurin Rd. Raleigh, NC 27699-1646 Bear Creek, NC 27207 Phone/Fax: (919) 707-8298 Email: jared.wilson@ncdenr.gov PAI U CK. NO. « - Date: 09/27/2022 DATE -1 Boo. DD Invoice #: NCS-01036-2023 I Septage - Annual: We Pump It (NCS-01036) 3845 McLaurin Rd. $800.00 Bear Creek, NC 27207 Number of Trucks: 2 Date Due: 12/15/2022 LATE FEES: _e with NC General Statutes GS 130A-291.1(e2), a late fee will be applied to any annual permit fees not submittea oy January 1, 2023, Payment Options: E-check Available online at 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 q ncc 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 on Firras 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 _westions re,jardin ,: Billing e Jared Wilson (919) 707-8298 Regulations or Technical Assistance Chester Cobb (919) 707-8283 Jeffrey Bullard (919) 707-8285 More information available on the web: North Carolina Department of Environmental Quality (DEQ) - Qs:Ndeq.nc.aov North Carolina Solid Waste Program - ic, ov apoLjVdivisionc,wa t -m n ement'solid warts section North Carolina Septage Management Program - ttr)s• /d=-:t nc ❑ov/abo t/divisions/was-managementlsolid waste section'cial wastes -and alternative