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HomeMy WebLinkAboutNCS01090_2023Permit_Initial2023 Permit and Registration A & B Portable Toilets, Inc. is hereby issued a Septage Management Firm Permit, STATE,, _ Permit Number NCS-01090 oand registered as a NORTH A%L 12. rim -�� Septage Management Firm�� �� w� ��nffii�utr 4sr 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. TZ Osborne WRF, McLeansville, NC 2. Septage Detention or Treatment Facility, SDTF-41-09 3. Carolina Compost (2911-COMPOST), Thomasville, 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 by Wm Perry Wm Perry Sugg Sugg 114:2758— 3 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* A&B Portable Toilets, Inc. The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01090 Enter the five digits following the NCS # Street address of office* Street Address 2544 Alamance Church Road Address Line 2 City State / Province / Region Greensboro NC Postal / Zip Code Country 27406 Guilford County* Guilford Mailing address same as street address of office?* • Yes No Phone* Fax 336-669-7338 Email* ayoung@abportabletoilets.com Owner Info Firm owner's name* Billy Young Mailing address same as street address of office?* • Yes No Phone* Fax 336-707-8695 Operator Info Firm operator's name* Firm operator's title Billy Young Vice President Mailing address same as street address of office?* 0 Yes No Phone* Fax 336-707-8695 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 699,605 Portable Toilet Waste 931 , 531 Grease (Restaurant) 320,242 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: * Guilford, Alamance, Forsyth, Randolph, Rockingham, Chatham, Moore, Lee, Davidson 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* 12/9/2022 Title* Vice President Choose how to add vehicle descriptions* Add vehicles individually • Upload List Upload vehicle list* You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag #, Vehicle Identification #, and Tank Capacity. RENEWAL Master Truck List 2022.xlsx 13.86KB 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* TZ Osborne Septage Land Application Sites (SLAS)* Expiration Date* Authorization 12/31/2023 Septic 59.25KB Discharge Form 2023.pdf Yes • No Septage Detention or Treatment Facility (SDTF) • Yes No If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for each site. SDTF #* Expiration Date* Authorization SDTF-34-02 12/31/2023 Septic 59.25KB Discharge Form 2023.pdf 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 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 cllr. a�css~� Date 12/8/2022 12:47:36 AM Print Name* William D Young Title* Vice President Year Truck Tag Fresh Wa Gallons Wa VIN Usage 2007 Freightliner M2 HS-7279 300 1000 1FVACWDCH7HY75671 Portable Toilet 2000 Freightliner FL80 YA-133402 20 2500 1FU6J6BA5YNF92192 Septic/Grease 2016 Ford F550 HC-2653 300 900 1FDUF5GT8GEC07547 Portable Toilet 2015 International 4300 FD-2443 400 1000 3HAMMMML6FL70905 Portable Toilet 2016 Ford F550 JB4557 200 900 1FDUF5GT9GED30404 Portable Toilet 2018 Ford F550 JK3346 350 1000 1FDUF5GTOJEC21059 Portable Toilet 2019 International HV507 YA153121 100 4000 3HAEGTAT7KL332448 Septic/Grease 2019 Chevrolet Silverado JP-5259 250 350 1HTKHPVK6KH840702 Portable Toilet 2019 Chevrolet Silverado HP-6196 350 500 54dcw1bok5804287 Port Toilet/Del 2019 International MV JX2847 400 1000 1HTEUMMLlKH406320 Portable Toilet 2019 Chevy/Isuzu KC-2404 350 800 1HTKHPVK6H161982 Portable Toilet 2017 International 4300 JX-2846 250 500 1HTMMMMLoHH572865 Port Toilet/Del 2008 International Eagle YA-160320 0 3500 1HSXRSCT68J558258 Septic/Grease 2021 Chevrolet Silverado KY-1789 100 350 1HTKHPVK3MH534088 Port Toilet/Del 2023 International MV RC-7368 500 1500 3HAEUMML6PL774459 Portable Toilet 2022 Chevrolet Silverado ZP-2001 300 900 1HTKHPVK5NH629320 Portable Toilet 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. Bradley Flynt (Grade 1V 27171) ORC for T Z Osborne Water Reclamation Facility (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 2350 Huffine Mill Road, McLeansville NC 27301 (Address) 336-433-7262 do hereby auWilliam Young thorize (Phone Number) (Owner/Operator of septage Management Firm) of A&B Portable Toilets, Inc. � Q90 N CS # (Septage Management Firm Name and NCS number) to dispose of: domestic septage XXX XXX portable toilet waste grease septage (grease trap pumpings)NO NO commercial/industrial septage _ 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 (Location) between the hours of 7:00 a.m. - 6:00 p,m. Monday through Saturda Reintroducing partially treated liquid into a grease trap is acceptable Yes XX No This authorization shall be valid until December 31, 2023 (Usually December 31, Year) A Signed > �' - Date-W.-/0 '.. ( cility Aerator) Subscribed and:affirrned before me this �day of ®e11v66e-- 20 -• My Commission expires: M,4 i 202 (Notary Public) IIDRlENNE MCHAVIS X(OF = NCI W. ( nmisft Dgm MR 21 .. Note: Falsification of this document by the septage management firm shall lead to permit revocation. WSDIH ,Was1o/('1,A/S1J)1 MA/FORMS/2018 Firm Appiication/W WTP Authorization Form 2018 CITY OF GREENSBORO WATER RESOURCES DEPARTMENT INDUSTRIAL WASTE SECTION HAULED WASTE DISCHARGE PERMIT In compliance with the standards and regulations adopted by the North Carolina Environmental Management Commission, and the regulations and policies established by the City of Greensboro A&B Portable Toilets Inc. is hereby authorized to discharge hauled domestic septage at the T. Z. OSBORNE WASTEWATER TREATMENT PLANT NPDES PERMIT NCO047384 This permit is effective JANUARY 1, 2023 This permit expires DECEMBER 31, 2023 9 sboro .Industrial Waste Section Signature/Seal/Date ( ily of Glc'elrshoro cY202.:3 lirruler Woste Discharge Permit: Pagel of 1 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 Gibson (Facility Operator) 588 Free Pilgrim Church Rd. Thomasville, NC 27360 (Operator Address) do hereby authorize: Billy Young (Owner of Septage Management Firm) ARB Portable Toilets Inc _ _ NCS# 01090 (game of Septage Management Firm) 2544Alamanae Cho ch Pd reens.bow--NC-27406 (Address of Septage Management Firm) to utilize septage detention or treatment facility # SWC-D-29-10 for the treatment or storage of septage * in 7-o 23 The facility will be operated in accordance with the Septage Management Roles Date: 11-11-22 ed % ( cility Operator) L As defined in G.S.130A-290(a)(32) * ' As defined in 15A NCAC 13B .0800 Return the properly completed form to: North Carolina Department of Environmental Quality RECEIVED Division of Waste Management Solid Waste Section NOV 1 6'2022 1646 Mail Service Center Raleigh, NC 27699-1646 SOLID WASTE SECTION