NCS01032_2023Permit_Initial

2023
Permit and Registration
Central Septic Tanks, Inc.
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01032
and registered as a
12 �� Septage Management FirmCAROL] � �nffi��NOR Ity
LULAH
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. City of Hickory WWTP, Hickory NC
2. Clark Creek WWTP, Newton, 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 D rr Digitally signed
Y by Wm Perry Sugg
Sugg Date: 2023.02.23
13:57:26-05'00'
Perry Sugg, Environmental Compliance Branch Head

12/6/22, 5:47 PM Submission Completed
iNle of IN rt . Carol'; Am-flication for Permit to (3-1 berate a
_re,)�nrriel i.lad Qulah-L-
J,
9 •E� rne n
Septage Management Firm
01/ast -.- M. aw
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*
Central Septic Tanks, INC.
The "Firm name" must be exactly as it is shown on you, vehicla(s).
Septage Management Firm permit number (NCS #)*
NCS-01 032
Enter the five digits following the NCS #
Street address of office*
Street Address
5107 E HWY 10
Address Line 2
City State /Province / Region
Catawba NC
Postal ."Zip Code COU17'ry
28609 United States
County*
Catawba
Mailing address same as street address of office?*
I Yes €: No
Mailing Address*
Street Address
PO Box 546
Address Line 2
City State! Province / Region
Catawba NC
Postal / Zip Code Country
28609 United States
https:Hedocs.deq.nc.gov/Forms/Form/Submit 1/6

12/6122, 5:47 PM
Submission Completed
Phone*
8282448248
Email*
[e-mail]
Owner Info
Firm owner's name*
Brian Yount
Mailing address same as street address of office?*
Yes No
Mailing Address*
Street Address
PO Box 546
Address Line 2
City
Catawba
Postal / Zip Code
28609
Phone*
8282448248
Operator. Info
Firm operator's name*
Brian Yount
Mailing address same as street address of office?*
Yes No
Fax
State 1 Province 1 Region
NC
Country
United States
Fax
Firm operator's title
President
https://edocs.deq.ne.gov/Forms/Form/Submit 216

12/6/22, 5:47 PM Submission Completed
Mailing address*
Street Address
PO Box 546
Address Line 2
City
State 1 Province 1 Region
Catawba
IBC
Postal ! 2. p Code
COUntry
28609
United States
Phone* Fax
8282448248
Type and amount of septage pumped in the last 12 months
Amount in gallons'
Domestic 25, 000
Portable Toilet Waste 120,000
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in:
Burke, Catawba, Caldwell, Lincoln, Alexander, Iredell
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." '
https://edocs.deq.nc.gov/Forms/Form/Submit 3/6

12/6122, 5:47 PM Submission Completed
signature
Date's
12/6/2022
Title*
President
Choose how to add vehicle descriptions'
.�4 Add vehicles individually Upload List
Pumper Vehicles
Usage * License Tag #* Vehicle Identification #*
Domestic Septage AL-5874 1GBK6H1C5YJS19991
Tank Capacity*
1,000
Portable Toilet Waste HE-7562 1FDUF4HTXGED30811 700
Septage Disposal Method _._ .^�.„-� m ......W..........
For each method, indicate whether you plan o Use it by checkir g yes ar no.
Approved wastewater treatment plant'
10; 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
Wastewwater Treatment Facility Name *
City of Newton
City of Hickory
Expiration Date* Authorization
12/31/2023
12/31/2023
https://edoes.deq.nc.gov/Forms/Form/Submit 416

12/6/22. 5:47 PM Submission Completed
Septage Land Application Sites (SLAS)*
YesNo
Septage Detention or Treatment Facility (SDTF)
Yes No
Other disposal method
Yes No
Septage Management Firm Operator Training Completed
Date` Hours'
1/13/2022 4
Location*
Hickory Convention Center
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
r' Registered Portable Sanitation and Septage Management Firm
Comments and Notes
https://edoes.deq.nc.gov/Forms/Fo►rn/Submit 5/6

12/6/22, 5:47 PM
Submission Completed
cmrrients or notes
I believe I did my training January 13th, 2022. However, I can not remember
the exact date. I do know it was in January and at the Hickory Convention
Center.
Certification Statement
i certify that the information and representations, in this applt,ation for a permit are true, complete, and 9C(;Llr3te 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 bases upon incorrect or inadequate in'c)rmation that materially affected the decisP'on
to 9SUe the nprmit and that there are criminal penalfie,,q for knowingly n-taking a false statement, representation, or cen-Acalon.
Signature*
r&4 WIP -
Date
12/6/2022
05:29:47 AM
Print Name*
Brian Yount
Title*
President
https://edocs.cleq.ne.gov/Forms/Form/Submit 6/6

NC SEPTAGE MANAGEMENT FIRM
Recertification of Pumper Vehicle(s)
Septage Firm Permit #:
Number of Pumper Vehicles:
NCS- 01 0 3 �2—
CERTIFICATION:
"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the
submitted permit application meet the requirements for safe and sanitary
transportation of septage as required by15A NCAC 13B .0844 (a) and vehicle
lettering as required by 15A NCAC 13B .0844 (b). I also certify that a log is
maintained of each septage pumping event as required by 15A NCAC 13B .0839
(a). I am aware that there are significant penalties for false certification including
the possibility of fine and imprisonment."
Signatttum (Signature of company official required]
01
Print Name
t)- -� z2,
Date
If e5 t'dt4,L4,
Title
S:%Solid_WastelclalseptagelformstPumper Vehicles Cetification.doc

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, 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.
I, Shawn Pennell, City_ of Hickory
4014 River Rd. Hickory. NC 28602
(Plant Operator and Name of Plant)
_
(Address)
828-323-7427 do hereby authorize Brian Yount
(Phone Number) (Owner/Operator of Septage Management Firm)
of Central Septic Tanks Inc. NCS # 01032
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X _ , portable toilet waste X
grease septage (grease trap pumpings)-------- commercial/industrial septage
Catawba. Caldwell. Lincoln and Burke
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Old Brookford Plant
(Location)
between the hours of 7:00am and 7:00pm
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 _
9 � Date //,
( kilfi Operator)
Sworn to and subscribed before me this
As�
(Notary Public)
y
from
d . . I. i. �i 1 • a
My Commission expires: 9
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
(0FFI C{� %L
Y �TAgy 0
2�
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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.
DA&� �/DL17i Cl�tl 0f
C
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
1 07 M 6 4//T-_
U-1
1, r✓
Y fido hereby authorize
(Phone Number) (Owner/Operator of Septage Management Firm)
of C.eA�nd Se 41'c -ranks L. NCS# 0103.2-
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage 1i portable toilet waste ►l/
grease septage (grease trap pumpings) commercial/industrial septage , from
e,A#,,o - Lin ca /A 1jerk
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
1 o 7 �� fv�� � � 2 '& �
(Location)
between the hours of -7+1, - 7 Yea
Reintroducing partially treated liquid into a grease trap is acceptable Yes V No
This authorization shall be valid until I.DecP,,, lr,, 31 St L-),-,) L 3
(Usually December 31, Year)
Signed Date i l l b l ZZ
(F: cility Operator)
Subscribed and affirmed before me this _
(Notary Public)
day of . " t z 20,2
My Commission expires:
RONALD L INGRAM (OF, ICIAL SEAL)
NOTARY PUBLIC
Catawba County
North Carolina
My Commission Expires May 8, 2027
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/W WTP Authorization Form 2019

North Carolina Department of Environmental Quality
Division of Waste Management INVOICE
NORTH CAROLINA Spud Waste Section
Eal*MnteAWCUn[Mr
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Phone/Fax: [phone]
Email: [e-mail]
To: Brian Yount
Central Septic Tanks, Inc.
PO Box 546
Catawba, NC 28609
P �)%-_ I [)
CK. NO. ✓I 7 Z
DATE j `Z - /—
JO&D.OD -
Date: 09/27/2022
Invoice #: NCS-01032-2023
Septage - Annual:
Central Septic Tanks, Inc. (NCS-0-1032)
PO Box 546 $800.00
Catawba, NC 28609
Number of Trucks: 2
Date Due: 12/15/2022
���aK with XC fen rat Statutes GS 130 24t.1fe2), a latefee)AIE be.apphea, an arir ral pe rn i fees nat subm€ ec# by �anua�l,.2(k
Payment Options:
E-check Available online at �rir;
Requires bank account and routing information. You will need to use _he 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 ca,
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.
[*Convenience 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.]
Explanation 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
Regulations or Technical Assistance
Jared Wilson [phone]
Chester Cobb [phone]
Jeffrey Bullard [phone]
More information available on the web:
North Carolina Department of Environmental Quality (DEQ)
North Carolina Solid Waste Program - htt 75: 'i c:.nr .::,r,:;r,,,;;., is _ C c_: =.i •=•r :. i a<te u
North Carolina Septage Management Program - htt sae=_ I
ha nrjI i oo /sa c•laae