NCS01066_2023Permit_Initial

2023
Permit and Registration
Rowland Enviro. Septic & Grease Services
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01066
o and registered as a
e:,e D E
-�� Septage Management Firm ��en� �� w� nmenta�llty
Eller
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, Tide 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. East Burlington WWTP, Burlington, 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 Perry
Sugg
Digitally signed by
Wm Perry Sugg
Date: 2023.02.23
14:23:43-05'00'
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(7.) Firm name: (The "Firm name" must be exactly as it is shown on your vehkie(s)).
Street address of office: .0
City:_ State:A) C— Zip: 3v
Mailing address (if different):
City:
State: Zip
Phone:234� Fax:
County:-&
(2.) Firm owner's
Mailing address (if different):
City:
Septage Management Firm permit number: NCS #eno
State: Zip
Phone: 4 Fax:
(3.) Firm operator's name:Firm operator's title:
Mailing address (if different):
City: State:
Phone: Fax:
Zip:
(4.) Type(s) of septage pumped: Write in the number of gallons jaumned in last 92 months (Example: Domestic: 50,000).
Domestic
(5.) N.C. Counties of Operation:
Toilet Waste I Grease
Treatment Plant Industrial/Commercial
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: o?
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
—
2
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) (&J'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? (,.-I 'yes ( ) no InitialDate��-
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( i,-<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: Hours:
Training Sponsored or Provided by: Acl -572�
(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: j—,��
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.
119VIZ-141�
Signature (Signature ofAompanyofficial required) Date
Other Comments:
,r
Title
Rev. 04-26-2021
PAGE 2

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
Division of Waste Management - Solid Waste Section
401 Oberlin Rd., Ste.150, Raleigh, N.C. 27605
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, Dan in Allred. Chief Operator of the East Budin ton Wastewater Treatment Plant
(Plant Operator and Name of Plant)
225 Stone Quagy Rd. Burlington, NC 27217
(Address)
336 ) 578-0515 do hereby authorize Al Rowland
(Phone Number) (Owner/Operator of Septage Management Firm)
Of Rowland Environmental NCS # S01066
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X . portable toilet waste . N/A
grease septage (grease trap pumpings) _ N/A commercial/industrial septage N/A ,
from Alamance Couno Only at the above named wastewater treatment facility.
(County or other Geographic Area)
Septage shall be discharged at: The Influent Septage dump Dit of the East Burlington Wastewater Treatment Plant.
(Location)
between the hours of 8:00 -11:30 am / 12:00 - 5:00 m Monday - Saturday
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This t�horization shall be valid until December 31. 2023
(Usually December 31, Year)
Signed Date �� - 2-9 - 2 2-
(Facility Operato )
Swom to and subscribed before me this ty O day of r 20 2
CMy Commission expires:
(Notary Public)
(OFFIC y�
NOTARY
Note: Falsification of this document by the septage management firm shall lead to permit revocation. PUBLIC. y
7 s
CO
H:CLA/FORMS/2009 Firm Application/1rrPAuthorizationForm2010LL
VW

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Adl
North Carolina Department of Environmental Quality
Division of Waste Management INVOICE
Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Phone/Fax: [phone]
Email: [e-mail]
G
CK. N
DATE
Septage - Annual:
Rowland Enviro. Septic & Grease Services (NCS-01066)
2538 Kimrey Rd.
Mebane, NC 27302
Number of Trucks: 2
To: Allen Rowland
Rowland Enviro. Septic & Grease Services
2538 Kimrey Rd.
Mebane, NC 27302
Date: 09/27/2022
Invoice #: NCS-01O66-2023
Date Due: 1 12/15/2022
LATE FEES: In accordance with NC General Statutes GS 13OA-2914(e21, a late fee will be applied to arty annual permit fees not submitted by January ], 2023.
Payment Options:
E-check Available online at j1/d ncaov/s<voav
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 h s://dea_nc.g v�p—ay
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.
rConvenience 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
Exl,lanation of Invoice Amount is Based on Firm's 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 questions regarding
Billing Jared Wilson [phone]
Regulations or Technical Assistance Chester Cobb [phone]
Jeffrey Bullard [phone]
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - httasl/de%ncgov
North Carolina Solid Waste Program - https//deq.nc.gov/about/dMsionstwaste-managcement/soiid-waste-section
North Carolina Septage Management Program - h_ptt s.//deg nc oov/about/divisions/waste-manaaemenUsolid-waste-section/special-wastes-and-altemative-
handling/septage

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