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HomeMy WebLinkAboutNCS01050_2023Permit_Initial2023 Permit and Registration Better Choice Grease Trap Pumping is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-01050 o and registered as aD E -�� 12 Septage Management Firm ��en� f� w� nmental Ouallty 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. Carolina Compost, 2911-COMPOST, Thomasville, NC 2. Septage Detention or Treatment Facility, SDTF-92-12 3. TZ Osborne WRF, McLeansville, 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 Perr Digitally signed by Y Wm Perry Sugg Date: 2023.02.23 Sugg 14:21:22-05'00' 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* Better Choice Grease Trap Pumping The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01050 Enter the five digits following the NCS # Street address of office* Street Address PO Box 222 Address Line 2 City State / Province / Region Pleasant Garden NC Postal / Zip Code Country 27313 usa County* Guilford Mailing address same as street address of office?* • Yes No Phone* Fax 3366740565 Email* keenegrease@gmail.com Owner Info Firm owner's name* Caleb Keene Mailing address same as street address of office?* • Yes No Phone* Fax 3368806930 Operator Info Firm operator's name* Firm operator's title Caleb Keene Mailing address same as street address of office?* 0 Yes No Phone* Fax 3366740565 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 30,000 Portable Toilet Waste 0 Grease (Restaurant) 100,000 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: * guilford, alamance, wake, randolph, forsyth, rockingham, davidson, durham 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." Signature Date * 11/25/2022 Title* owner Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Grease (restaurant) KR-4316 3hammmml2f1104465 2,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Approved wastewater treatment plant* Yes 0 No 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* 1/27/2022 6 Location* hickory nc Training Sponsored or Provided by* NC Septic Tank Association Lseptage Land Application Site Operator Training Completed Date Location Training Sponsored or Provided by Registration Type Select one* Registered Portable Sanitation Firm Hours 0 • 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 11/25/2022 11:00:33 AM Print Name* Title* Caleb Keene Owner AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a detention or treatment facility permit holder to indicate that permission has been given to a permitted Septage Management Firm to discharge septageinto the permit holders detention or treatment facility.) it do hereby authorize,, -P t (Facility Operator) (Operator Address) r (Owner of Septage Management Firm) (Name of Septage Managemedt F �o J � i drvl �� irm) qr NCS # Address of Septage Management Firm) to utilize septage detention or treatment facility # septage �766 --- 3 a 3 for the treatment or storage of in 20�_. The facility will be operated in accordance with the Septage Managemen Date.. * As defined in G.S. 13OA-*2.90(a)(32) ** As defined in 15A NCAC 138 .0800 Return the properly completed form to. North Carolina Department of Division of Waste Managemen Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 Env t Signed ironmental quality .P (Facility Operator) t Rules ** . AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a detention or treatment facility permit holder to indicate that permission has been given to a permitted Septage Management Firm to discharge septage into the permit holders detention or treatment facility.) 1, —Jason Qibson (Facility Operator) 588 Free Pilarim Church Rd. Thomasville. NC 27360 (Operator Address) do hereby authorize: Caleb Keene (Owner of Septage Management Firm) Better Choice Grease Trap Pumping (Name of Septage Management Firm) NCS # 01050 (Address of Septage Management Firm) to utilize septage detention or treatment facility # SWCD-29-10 for the treatment or storage of septage * in 20 23 . The facility will be operated in accordance with the Septage Management Rules **. Datei 11-11-2022 * As defined in G.S. 130A-290(a)(32) ** As defined in 15A NCAC 13B .0800 i - S' (Fac:ility Operator) Return the properly completed form to: North Carolina Department of Environmental Quality Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 ajm� ■ +ter � --mr s 3 1WIff F low�, � 40MM fMaNgw- -f FYN A Pr + UZATION 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 b W treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming wastewater stream. � Bradley Flynt (Grade IV 27171) ORC for T Z Osborne Water Reclamation Facility 000001� (Plant Operator in Responsible Charge (ORC), ORC License Number,, Name of Plant) 2350 Huffine Mill Road, McLeansville NC 27301 (Address) 336-433-7262 Caleb Keene - - - do hereby authorize n (Phoe Number) (Owner/Operator of Septage Management Firm) of Better Choice Grease Trap Pumping _,;:a 1050 (Septage Management Firm Name and NCS number) to dispose of: domestic septage xxx .portable toilet waste NO grease septage (grease trap pumpings) NO commercial/industrial septage NO .from Guilford County NC (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: T. Z. Osborne Water Reclamation Facility between the hours of 7:00 a.m. - 6:00 (Location) .m. Monday through Saturda Reintroducing partially treated liquid into a grease trap is acceptable Yes xx No mmm� This authorization shall be valid until December 31, 2023 Signed Subscribed and affi FacilitylOperatar) fore me thdP is (Notary Public) (Usually December 31., Years nA00 Date /O -/O •, day of Q�lo s�-2 , Zp ZZ My Commission expires: )VA4 - 1 0ZG Node; Falsification of this document by the septage management firm shall 5:/5olid Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018 ADRUNE M CMVIS Le I ?Mawl- ead to permit revocat ion.