NCS01089_2023Permit_Initial

2023
Permit and Registration
Asbury's Johnny On the Spot
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01089
oand registered as a
NORTH
EQ
i2. ��
-�� Septage Management Firm�� �� w� ��nffii�utr
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. Catawba Water Pollution Control Facility, Morganton, 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 Perry Digitally signed by
Wm Perry Sugg
Sugg 114:27 28— 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*
ASBURY'S JOHNNY ON THE SPOT
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01089
Enter the five digits following the NCS #
Street address of office*
Street Address
1511 Brentwood P1
Address Line 2
City
State / Province / Region
Morganton
NC
Postal / Zip Code
Country
28655-7875
United States
County*
Burke
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
8284437104
Email*
[e-mail]
Owner Info
Firm owner's name*
JAMES C ASBURY
Mailing address same as street address of office?*
• Yes No
Phone* Fax
8284437104
Operator Info
Firm operator's name* Firm operator's title
JAMES C ASBURY OWNER
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
8284437104
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 0
Portable Toilet Waste 7,500
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in:
BURKE/MCDOWELL
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
, Taw &,s C A-3.h0yy
Date*
12/5/2022
Title*
owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Portable Toilet Waste JA9801 1GB3CZCG9CF152947 750
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
0 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*
CATAWBA VALLEY POLLUTION CONTROL
FACILITY
Septage Land Application Sites (SLAS)*
Yes • No
Septage Detention or Treatment Facility (SDTF)
Yes • No
Other disposal method*
Expiration Date* Authorization
12/31 /2022 Document_202... 850.22...
12-
05_135838.pdf
Yes • No
Septage Management Firm Operator Training Completed^]
Date* Hours*
1/27/2022 4
Location*
HICKORY METRO 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
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
,Tawes C Asho? y
Date
12/5/2022
01:52:00 AM
Print Name* Title*
James C Asbury owner

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 27699-3646
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.
Elisha, Self 1002187. Catawba Water Pollution Control Facility
(Plant operator in Responsible Charge (ORC), ORC License Number, dame of Plant)
1000 Vine Arden Road/ P.❑ Box 3448 Morganton, NC 28555
(Address)
828-438-5285 do hereby authorize James Asbury
{Phone Number} (Owner/operator of Septage Management Firm)
of Asbury's Johnny On The Spot
NC5 #i 01089
(Septage Management Firm Name and NC5 number)
to dispose of: domestic septage � portable toilet waste x
grease septage (grease trap pumpings) commercial/industrial septage frorn
Burke County
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at;
Catawba River Water Pollution Facility
between the hours of i:DOAM- TOOPM (Location)
Reintroducing partially treated liquid into a grease trap its acceptable Yes K No
This authorization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed �i�l�- Date ] I - IQ- I
(Facility Operator)
Subscribed and affirmed before me this
(N tary Public}
day of ji.04 20 0;L']-r
My Commission expires: g —21 r Z,& ? S'
(OFFI iAL HAL)
Note: Falsification of this document by the septage management firm shall lead to permit revocation,
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Apphcation/W WTP Authorization form 2018