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HomeMy WebLinkAboutNCS01022_2023Permit_Initial2023 Permit and Registration Environmental Inc. is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-01022 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. French Broad River WRF, Asheville, NC 2. Clay County WWTP, Hayesville, NC 3. Town of Bryson City WWTP, Bryson City, NC 4. Town of Murphy WWTP, Murphy, NC 5. Town of Waynesville WWTP, Waynesville, NC 6. Tuckaseigee Water and Sewer Authority, Sylva, 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 by Wm Perry Wm PerrySugg S u g g 113:56 28- 3 05''00' 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* Environmental, Inc. The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS001022 Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX) Street address of office* Street Address 2675 Skyland Drive Address Line 2 City State / Province / Region Sylva NC Postal / Zip Code Country 28779 USA County* Jackson Mailing address same as street address of office?* Yes • No Mailing Address* Street Address PO BOX 954 Address Line 2 City State / Province / Region CULLOWHEE NC Postal / Zip Code Country 28723 US Phone* Fax 8285865588 8285860080 Email* environmentalinc@aol.com Owner Info Firm owner's name* Mark Teague Mailing address same as street address of office?* Yes 0 No Mailing Address* Street Address PO BOX 954 Address Line 2 City CULLOWHEE Postal / Zip Code 28723 Phone* 8285865588 Operator Info State / Province / Region NC Country US Fax 8285860080 Firm operator's name* Firm operator's title Mark Teague Owner Mailing address same as street address of office?* Yes • No Mailing address* Street Address PO BOX 954 Address Line 2 City State / Province / Region Cullowhee NC Postal / Zip Code Country 28723 USA Phone* Fax 8285865588 8285860080 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 521 , 350 Portable Toilet Waste 0 Grease (Restaurant) 0 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: * Buncombe, Haywood, Jackson, Cherokee, Macon, Swain, Clay Vehicle Info Do you plan to operate pumper vehicles?* 0 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 ewe 9�wg Date* 12/29/2022 Title* Owner Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage YA94985 1FDXR8ZE85VA07288 2,100 Domestic Septage FA4370 1GDJ7C1326F900944 1,800 Domestic Septage YA159781 1XPSDU9X9BD117395 4,000 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* TWSA Town of Bryson City Expiration Date* 12/31/2023 12/31/2023 Authorization * TWSA 2023 WW Treatment Authorizatio... Town of Byrson City 2023 WW Treatment Authorizatio... 326.71... 286.72... Buncombe County Town of Waynesville Town of Murphy Clay County 12/31/2023 12/31/2023 12/31/2023 12/31/2023 Buncombe County 2023 WW Treatment Authorizatio... Town of Waynesville 2023 WW Treatment Authority.PDF Town of Murphy 2023 WW Treatment Authority.PDF Clay County WWTP 2023 WW Treatment Authorizatio... Septage Land Application Sites (SLAS) Yes • No Septage Detention or Treatment Facility (SDTF) Yes • No Other disposal method* Yes • No Septage Management Firm Operator Training Completed Date* Hours* 1/28/2022 6 Location* Hickory, NC Training Sponsored or Provided by* NC Septic Tank Association Septage Land Application Site Operator Training Completed Date Hours 0 Location Training Sponsored or Provided by Registration Type 391.3KB 315.42... 316.91... PZI411LOICR 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 943ve Date 12/29/2022 11:17:16 AM Print Name* Title* Mark Teague Owner AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environment and Natural Resources 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. , Bart )Farmer (991328), French Broad River Water Reclamation Facility (MSD of Buncombe County. NC] (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 2028 Riverside Drive; Asheville, worth Carolina 28804 (Address) 828-225-8224 do hereby authorize Mark Teague (Phone Number) (Owner/Operator of Septage Management Firm) of Environmental Inc NCS# 01022 (Septage Management Firm Name and NCS number) to dispose of: domestic septage Yes , portable toilet waste No grease septage (grease trap pumpings) No commercial/industrial septage No , from Buncombe, Haywood, Henderson, Madison, McDowell, Mitchell, Polk, Rutherford, Transylvania & Yancey Co. (County or other Geographic Area) at the above -named wastewater treatment facility, Septage shall be discharged at: MSD's Septage Receiving Station at 2110 Riverside Drive; Asheville, North Carolina 28804 (Location) Between the hours of 24 hours a day/ 7 clays per week Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until December 31, 2023 (Usually December 31, Year) Signed Date Facility Operator) Subscribed and affirmed before me this day of 20a� JA A /) V 1) W-M My Commission expiresr� �03`1 (Notary Public) (OFFICIAL SEAL) Note: Falsification of this document by the septage management firm shall lead to permit revocation.'ai SilSQIid Waste/CLAISEPTAGE/FORMS/2015 Firm ApplicationMMITP Authorization Form 2018 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. (Plant Operator in Responsible } I G (b Lk*-*i-, 0 U�-- C D r. H G� IV w z n Q\1 coun w VV-W RC), ORC License Number, Name of Plant) V, I re. nL .2 (A'ldress) 9J) J �qr I ?i-e l do hereby authorize mci OL V (Phone Number) (Owner/Operator of Sept Management Firm) i7 of + [ n NC5 # Q/ 02Z. (Septage Management Firm Name and NCS number) to dispose of: domestic septage V portable toilet waste V grease septage (grease trap pumpings) commercial/industrial septage , from i .J (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Lou.hf WIVTP (Location) between the hours of rn - Reintroducing partially treated liquid into a grease trap is acceptable Yes No This authorization shall be valid until r (U ually December 31, Year) Signed Date (Facility Operator) f Subscribed and affirmed before me this i day of y x(] My Commission expires: (Notary Public) *:M FFICIAL SEAL) Note: Falsification of this document by the septage management firm shall lead to permit revocation. 5:/Solid_Waste/CiA/SEPTAGE/FORM5/2018 Firm AApllcation/WWTP Authorizatlan Form 2018 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, `rVu�I 9 G o 12 TDWI) 0- (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant] O� N w � Iq W 13KU '-71 on ( l N VdbV-`P 4 do hereby authorize (Phone Number) (Owner/Operator of Septage M nagement Firm) of e 1 1 V � (l.il)1 1 e 1 lyci _ Nc5 # i lUd'A (septage Management Firm Name and NCS number) to dispose of: domestic septage �/, portable toilet waste grease septage (grease trap pumpings) commercial/industrial septage , from V]i.0 County or other Geographic Area) at the above named wastewater treatment facility. septage shall be discharged at: If (Location) between the hours of R a m ` 5 P"-) Reintroducing partially treated liquid into a grease trap is acceptable Yes V, No This authorizati n shall be valid until 1 a , 13 � J / (Usually December 31, Year) Signed L �f Date + I ( Facility Operator) Subscribed and affirmed before me this ✓ day of 20 Lr2 r (Notary Public) My Commission expires: m6LISS4 BUCHANAN Notary RubliI(QFFIC LSEAQ North Cafalina Jeckson County Note: Falsification of this document by the septage management firm shall lead to permit revocation, 5:/Soiid Waste/CLA/SEPTAGE/FORMS/2018 Firm Appiicaflan/WWTP AuthorixaVon Form 2018 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. ' __ &P-tf 10Jl10 5g -70l. of 07/1"O u ww-r (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 37o P Ir .2`3DCi (Address) '929- -ai i do hereby authorize (Phone Number) �n ran (OwnerjOperator of Septage Man ement Firm) j of - ►_�GYA1 i �� �L , )ln� NCS # () `b2Z (Septage Management Firm Name and NCS number) to dispose of: domestic septage portable toilet waste grease septage (grease trap pumpings) commercial/industrial septage - � from County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: q� P, S dtriec � Ltr AI C Z 2Sg Mt (location) between the hours of nA- ►► (yZ>'o - 5-0-0 Reintroducing partially treated liquid into a grease trap is acceptable Yes '� No This authorization shall be valid until DGu.01 irr ZaZ3 ' (Usually December 31, Year) f Signed - -- =%i `� Date l Iu .,ice (Facility Operator) Subscribed and affirmed before me this . U,day of .N_0011 !` 24 Q1o1 cjoalhln My Commission expires: (Notary Public) 1161A L.ISSA BL(�HA AN Notary ppLLbyy IALS l.j North Carolina Jackson County Note. Falsification of this document by the septage management firm shall lead to permit revocation. S:1Solid_Waste/ClA/SFPTAGE/FORMS/2018 Firm Appiication/Ww7P Authorization Form 2018 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 streams. 1, e.r,E. EG r lww� (plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 5 W l A s :r14,- AX, 17 S5 (Address) I (40— Ll � do hereby authorize � (I� n (phone Number) (Owner/Operator of 5eptage MarUgement Firm) of (5eptage Management Firm Name and NCS number)) to dispose of: domestic septage _ , portable toilet waste ■ NCS # grease septage (grease trap pumpings) commercial/industrial septage , from (County or other Geographic Area) at the above named wastewater treatment facility. 5eptage shall be discharged at: Se- a i f`LC e. Vin ( 54 1 roll (L cation) between the hours of _ 7' . DD Pk _ Reintroducing partially treated liquid into a grease trap is acceptable Yes �o This authorization shall be valid until 1-2 r 3!` ab ,� 3 (Usually December 31, Year) Signed Date 16477- as (Facility Operator) Subscribed and affiryged gore me this o? 7 '�—k= day of DtJOA- 20 A-;r , gip. p' My Commission expires: O4 10 �a-� �{OTARY 9 (Ivor P bra) rt (OFFICIAL SEAL) s PUBLIC Note. Falsification of this document by the septage management firm shall lead to permit revocation. S:/Sol d-Waste/CLA/SEPTAGE/FORMS/2016 Firm ApplicationlWWTP Authorization Form 2016 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. (Plant Operator in Responsible Charge (QAC), ORC License Number, Name of Plant) (Address) � d(.- 4_.3 )S' do hereby authorize M(1.KL -1-eckcyu-L (Phone Number) (Owner/Operator of Septage Man ement Firm) of L (Septage Management Firm Name and NCS number) to dispose of: domestic Septage portable toilet waste grease septage (grease trap pumpings) commercial/industrial septage , from (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: (Location) _ between the hours of - `C7 ) ' r 4--� Reintroducing partially treated liquid into a grease trap is acceptable Yes No This authorization shall be valid until ' (Usually Efecember 31, Year) Signed -e .__- Date v ');Z (Facility peratorj {{ t- Subscribed and affirmed before me this 1 day of f !r 20 r- My Commission expires: (Notary Public) F@MF,LISSA BUCHANAN No(�F1ir1�14���AL) North Carolina JeCkson County Note: falsification of this document by the septage management firm shall lead to permit revocation. 5:/Solid Waste/CLA/SEPTAGE/FORMS/2018 Firm Apphration/WWTP Authorization Form 2018 Z