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.