NCS01016_2023Permit_Initial

2023
Permit and Registration
J & B Septic Service Portable Toilets
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-01016
o and registered as a
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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. North and South Durham WRF, Durham, NC
2. Neuse River Resource Recovery Facility, Raleigh, NC
3. Septage Detention or Treatment Facility, SDTF-39-02
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
Perryby Wm Perry Sugg
Sugg 113:5556-005'003
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*
J & B SEPTIC SERVICE PORTABLE TOILETS
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01016
Enter the five digits following the NCS #
Street address of office*
Street Address
2622 Chloe Ln
Address Line 2
City
State / Province / Region
Creedmoor
NC
Postal / Zip Code
Country
27522
United States
County*
Granville
Mailing address same as street address of office?*
• Yes No
Phone* Fax
919-528-4422 919-964-8237
Email*
[e-mail]
Owner Info
Firm owner's name*
Mechelle T Dickerson
Mailing address same as street address of office?*
• Yes No
Phone* Fax
919-528-4422 919-964-8237
Operator Info
Firm operator's name* Firm operator's title
Michael Dickerson Owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
919-528-4422 919-964-8237
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 25,000
Portable Toilet Waste 15,000
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in:
Raleigh, Durham, Granville
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
�cc�2G�t
Date*
12/8/2022
Title*
owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage HJ-4574 1GBJ6C1315F526675 1,200
Portable Toilet Waste KM-6870 1HTKHPVK8LH884735 450
Portable Toilet Waste JJ-9739 1GD6C2BKXAF127277 500
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*
Raleigh Water Public Utilities
City of Durham Wateer Management
Septage Land Application Sites (SLAS) *
Yes • No
Septage Detention or Treatment Facility (SDTF) *
Expiration Date* Authorization
12/31 /2023 CityofRaleig... 881 .11...
C i tyof Ra e i gh... 1 .18MB
CityofRaleig... 994.58...
CityofRaleig... 718.23...
12/31 /2023 Cityofdurham... 702.42...
• Yes No
If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for
each site.
SDTF #*
SDTF-39-01
Expiration Date*
12/8/2025
Authorization
Other disposal method*
Yes • No
Septage Management Firm Operator Training Completed ^
Date* Hours*
12/3/2022 4
Location*
Raleigh NC Scott Building at fairgrounds
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
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
T17P7�lW. FP�
Date
12/8/2022
12:34:03 AM
Print Name* Title*
Michael Dickerson owner

CITY OF
DURHAM
Department of Water Management
AUTHORITATIGN TO DISCHARGE
J & B Septic Service Portable Toilets
hereby is granted permission to discharge domestic septage waste into City of Durham's
North and South Water Reclamation Facilities. This discharge shall be between the hours
of 7:30 a.m. and 4:00 p.m., five days a week. Permission to discharge is restricted to
waste collected in the state of North Carolina. The maximum discharge volume of each
load is 1600 gallons.
J & B Sgptic Service Portable Toilets shall comply with all provisions of City of
Durham's Sewer Use Ordinance. If any provision of the City's Sewer Use Ordinance is
violated, this authorization may be terminated.
Fee assessment and waste determination may be required at the discretion of the City of
Durham, Department of Water Management.
This authorization shall be valid from January 1, 2023 until December 31, 201-3.
oL .9-. 1111412
ohn Dodson — to
No Durham Water Reclamation Facility
1900 East Club Boulevard
Durham, North Carolina 27704
[phone]
aL L,
Charles Cocker - Date
South Durham Water Reclamation Facility
6605 Farrington Road
Chapel Hill, North Carolina 27517
[phone]

Raleigh Water j Public Utilities
PERMIT TO DISCHARGE SEPTAGE WASTEWATER
UNDER THE SEWER USE ORDINANCE
Permit No. 1016
N CS01016
In compliance with the Sewer Use Ordinance of the City of Raleigh, hereafter referred to as City, the
following Septage Management firm,
J & B Septic Service Portable Toilets
STREET ADDRESS: 2622 Chloe Lane Creedmoor, NC 27522
MAILING ADDRESS: 2622 Chloe Lane Creedmoor, NC 27522
hereafter referred to as Hauler, is hereby authorized to discharge:
© domestic septage, © portable toilet waste
from the Wake County and surrounding counties into the resource recovery facility listed below:
Neuse River Resource Recovery Facility (NRRRF)
NPDES No. 00029033
8500 Battle Bridge Rd.
Raleigh, North Carolina 27610
in accordance with City's Sewer Use Ordinance and other conditions set forth in this permit. Ail such
discharges shall be made at the designated septage receiving station.
This permit does not affect the legal requirement to obtain other permits which may be required by
separate State or local regulatory agencies. This permit hereby rescinds any previously issued
Authorization to Discharge Septage to a Wastewater Treatment Facility you have received from City
regardless of whether the Authorization you may be holding has expired.
This permit shall become effective January 1, 2023.
This permit and the authorization to discharge shall expire at midnight on December 31, 2021
��� %�
Date signed Li Josep
Resource Recovery Manager
City of Raleigh Public Utilities