NCS01037_2023Permit_Initial

2023
Permit and Registration
Boyer's Port -A Johns
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-01037
o and registered as a
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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:
1. French Broad River WRF, Ashville, 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
Wm Perry by Wm Perry
Sugg
Sugg Date: 2023.02.23
13:58:20-05'00'
Perry Sugg, Environmental Compliance Branch Head

From:
12/06/2022 12:44 #168 P.002/003
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT • SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC 27699.1646
(1.) Firm name: (The "Fkm name" must be us& as N Is shown on your vehkles)).
Street address of office: _ f ' r'Y31' j r r/
W. U AS Z! state:_..eL-e-
Mailing address (if different); '5 /? /N z::.-
City:
State:Zip
Phone:-_/ 28 6 82 - 33S J __Fax: 8 44.2 -3 3d-
E-Mail:__ /10 44-- 6B er l g 1Q 9 ry
County: o Septage Management Finn permit number: NCS
(2.) Firm owner's name: o 6 a` ,-
Mailing address (if different): O_/X d o guly-k--Z& rAA c•( -.,� �1�
City: Zip 8 i
Phone: .2 g 'q 08 r�i u'�o f� Fax: _
(3.) Firm operator's name: ,/- ,, rt Firm operator's title:
Mailing address (if different): ' . '? I;I '--_ �_ w
State: Zip:
Phone: Fax:
(4.) Type(s) of septage pumped: Wi to in (he nUM&K of gd&U NmNd in Iasi ji mondis(Example: Domestic: 50,000).
(5.)
Grease
N,C. Counties of Operation: °zz / v c `v. ��� /14V'Gvdv'�
JLwea6ax YoijamiuGnxad to us n®ss n)
(6.) Total Number of Pumper Vehicles Operated:
Number used for. Domestic Septage; Grease (restaurant):
Other. Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
License Tag #
Vehicle Identification #
Tank Capacity
1
c <
2
3
U
4
5
APPLICATION CONTINUED ON PAGE 2
PAGE 1

From:
12/06/2022 12:45 #168 P_003/003
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) ( +-Tyes ( ) no.
If you checked yes above, you must attest to the following statement before a permit may be issued.
"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 16A NCAC 139.0836(a). I am aware that there are significant penalties forfalse certification including the
possibility of fine and imprisonment."
Do you attest to the statement above? ( des { ) no Initial-�-�`--Date ,�vc 2
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( 4-1 yes { } no. If yes, submit Wastewater Treatment Authorization for each
plant, as indicated In Subparagraph .0834(c)(14) of theSeptage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets ifneeded)
SLAS#: Expiration Date: SLAS#: Expiration Date:
c) Septage retention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: Expiration Date: SDTF#: Expiration Date:
(9.) Septage Management Firm Operator Training Completed:
Date: 8— fj 2 Location: A,0,rGAwio2 Ne-- Hours:
Training Sponsored or Provided by: �6 &a/'ed' &"",D v,e t /V/G-
(10.) Septage Land Application Site Operator Training Completed:
Date: Location:
Training Sponsored or Provided by:
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours:
I ceftifjt 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 penatties for knowingly making a false statement, representation, or certification.
r
Signature (skwa of tompanyonkialrequw"
Print Name
Other Comments:
Date -
w�
Titre --
Rev. 04-26-2021
PAGE 2

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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.
1, 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, North Carolina 28804
(Address)
828-225-8224
do hereby authorize Fred Boyer ---
(Phone Number) (Owner/Operator of Septage Management Firm)
01037
of Boyers Port -A -John _ _ NCS#
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage _ Yes , portable toilet waste _ Yes
grease septage (grease trap pumpings)� No commercial/industrial septage No , from
Buncombe, Ha+ «ood, 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 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)
Signed
Date o ,2�
(Facili y Operator)
Subscribed and affirmed before me this _ -A _ _ day of 20 si_
IZ�Q_ My Commission expires
&jo,,���'7
(Notary Public)
(OFFICIAL SEAL)
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid Waste/CLA/SEPTAGE/FORMS/2015 Firm ApplicationMlWrP Authorization Form 2018

1
;r North Carolina Department of Environmental Quality
Division of Waste Management INVOICE
NORTH
ne-dQv�ty Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Phone/Fax: [phone]
Email: [e-mail]
Septage - Annual:
Boyer's Port -A -Johns (NCS-01037)
2149 Jacks Creek Rd
Burnsville, NC 28714
Number of Trucks: 2
To: Fred Boyer
Boyer's Port -A -Johns
2149 Jacks Creek Rd
Burnsville, NC 28714
, �Vk
CK. NO.
DATE _
_-12,.1'k
y$5oa- 00
Date Due:
Date: 09/27/2022
Invoice #: NCS-01037-2023
$800.00
12/15/2022
LATE FEES: in ..-0!d1 n-e s'tth N".' G�-n&e O Statutes G 7 is ,..�:?i ,keg , a late fec wi'i be appiliea is � :n t.aal ;,esmi; fees nct su tmin_�i k y -al ; +, 1, r ;
:
Payment Options:
E-check Available online at htps:r'/de .nc goy,,svvpgy
Requires bank account and routing information. 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.
Credit Card Available online at h- ttoss://dea.nc.aov/swoav
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 2n 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 Jared Wilson [phone]
Regulations or Technical Assistance Chester Cobb [phone]
Jeffrey Bullard [phone]
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - h t s: dgg.nc.aov
North Carolina Solid Waste Program - h t t s:/ fdeq.nr,.ggv/abou ivisLQns/waste--managgmerit!solid-viv ,ste-sectior,
North Carolina Septage Management Program - htts:v dea nc.9 v about division wa •man Amen /solid w ste-sectioq%special-wasies-and-aiterrative-
i ndli o se t e,