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HomeMy WebLinkAboutNCS01023_2023Permit_Initial2023 Permit and Registration Carolina Septic Solutions is hereby issued a Septage Management Firm Permit, STATE,, _ Permit Number NCS-01023 oand registered as a NORTH A%L 12. rim -�� Septage Management Firm�� �� w� ��nffii�utr 4sr 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: French Broad River Water Reclamation Facility, Asheville, NC City of Hendersonville WWTP, Hendersonville, NC City of Brevard WWTP, Pisgah Forest, 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. Wrn 1 err Digitally signed by Y Wm Perry Sugg Sugg 113:56:57— 05 00'3 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* CAROLINA SEPTIC SOLUTIONS The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01023 Enter the five digits following the NCS # Street address of office* Street Address 8 DUNLEER LANE Address Line 2 City State / Province / Region HENDERSONVILLE NC Postal / Zip Code Country 28791 USA County* Henderson Mailing address same as street address of office?* • Yes No Phone* Fax 828-696-3370 Email* CAROLINASEPTIC1@GMAI.COM Owner Info Firm owner's name* JOSE M LOPEZ Mailing address same as street address of office?* • Yes No Phone* Fax 828-696-3370 Operator Info Firm operator's name* Firm operator's title JOSE M LOPEZ OWNER Mailing address same as street address of office?* 0 Yes No Phone* Fax 828-696-3370 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 666,000 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 Henderson Transylvania Vehicle Info I^� 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 Date* 11/21/2022 Title* Owner Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage YA97619 2NPLHZ7X16M633687 2,500 Domestic Septage Y8152217 4V1V8VJE4KN609282 1,600 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* Buncombe Henderson Transylvania Septage Land Application Sites (SLAS)* Yes • No Septage Detention or Treatment Facility (SDTF) Yes • No Expiration Date* Authorization 11/21/2022 Buncombe_.pdf 515.46... 11/21/2022 Henderson.pdf 452.67... 11/21/2022 Transylvania... 496.6KB Other disposal method* Yes • No Septage Management Firm Operator Training Completed Date* Hours* 1/28/2022 4 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 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 Date 11/21/2022 03:00:00 PM Print Name* Title* Jose Manuel Lopez Coss 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. 27699-1546 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, Hart Farmer (991328), French Broad River Water Reclamation Facility {INSD of Buncombe County. NC] (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 2028 Riverside Drive; Asheville, North Carolina 28844 (Address) 828-225-8224 do hereby authorize .lose Manuel Lopez Coss (Phone Number) of Carolina Septic Solutions (Owner/Operator of Septage Management Firm) (Septage Management Firm Name and NCS number) to dispose of: domestic septage Yes , portable toilet waste No NCS# 01023 grease septage (grease trap pumpings) No commercial/industrial septage No , from Buncombe, Haywood, Henderson, Madison, McDowell, Mitchell, folk, Rutherford, Traosylvania & 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; Ashevi lie, North Carolina 28804 (Location) Between the hours of 24 hours a day 17 days 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) Sign ed Date 3 �, (Facility operator) 3 S"r Subscribed and affirmed before me this day of Ocknoev 20 III,My Commission expires aQ. ot0371 Cr (Notary Public) (OFFICIAL SEAL) Note: Falsification of this document by the septage management firm shall lead to permit revocation. S.lSolid_waste/CLAISEPTAGE/FORMS/2015 Firm ApplicationNWYrP 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 77699-1646 Fee assessments and waste determinations will be required at the discretion of the wastewater treatment faci€ity. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming wastewater stream. Garrett ❑eMoss, 1000305, City of Hendersonville WUVFP I, - IN a nt operator in Responsible Charge (ORC), 0RC License Number, Name of Plant) 99 Balfour Rd, Hendersonville, NC 28792 828 697-3077 do hereby authorize (Phone Number) (Address) Jose Lopez (Owner/Operator of septage Management Firm) of Carolina Septic Solutions NCS 4 01023 (septage Management Firm Name and NCS number) to dispose of; domestic septage Yes Yes, portable toilet waste grease se to(grease trap No Yes g p ge (g p pumpings} commere'a€�industria! septage , from Henderson (County or other Geographic Area) at the above named wastewater treatment facility. septage shall be discharged at: City of Hendersonville VVVVTR 99 Balfour Road, Hendersonville, NC 28792 (Location) between the hours of 8:00 AM - 5.-00 PM [ Monday - Fridayl Reintroducing partially treated liquid into a grease trap is acceptable ❑ Yes 21 No This authorization shall be valid until December 31, 2023 (UsuaIIy Derember 31, Year) Signed r'3[.r�-+.►•- Date_] (Facility Operator) Subs 'bed and affirmed before me this _'� �❑ _ day of ��$ 20 Z My Commission expires: 7 (Notary Public) ■.,�4o�a FFICIAL SEAL) U, _ N0TL y PU D Note: Falsification of this document by the septage management firm shall lead to pe;f* ovation. S:/Soi�d_Waste/CLA/SEPTAGE/rORM5/2016 Firm ApphcationlWWTP Authorization Form 2016 // ftIV tQv��,•� 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 77699-1646 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 (QRC), ORC Rense Number, Name of Pant) - ` i Ja� b Lfr I S ❑ 1� �`I �S�I,L ` i'C'cxir ? (Address) do hereby authorized lPhone Number) (owner/Operator of Septage Man gement Firm) of A 11 4/1 (5eptage anagement Firm Name and NC5 numfier} to dispose of: domestic septage portable toilet waste grease septage (grease trap pumpings) corn merciaVndustrial septage from s (County or er Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: zzm&). (Location) -, between the hours of ' " a � IL Reintroducing partially treated liquid into a grease trap is acceptable Yes �No This authorization shall be valid until _ -Peo?? --•t" r ?/ (Usually December 31, Year) J l 7 Signed C f7 Date (Facility Operator) and affirmed before me this day of VQC-*W�yD470 My Commission expires: (Notary Public) 0 -VARY co Note: Falsification of this document by the septage management firm shall lead to permi�(evoft��� .. S:/Solid_Wa5te/CLA/SEPTAGE/FORMS/2018 Firm Appkication/WWTP Autnorization Form 2018 "N"r H n 1H11►i11titi��1`t