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
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-�� Septage Management Firm�� �� w� ��nffii�utr
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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:
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
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