NCS01112_2023Permit_Initial

NORTH CAROLINA
Environmental Quality
2023
Permit and Registration
Jim's RV Pumping
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01112
and registered as a
Septage Management Firm
(PUMPER)
in the State of North Carolina.
NORTH CAROLINA �EQ
W/11
Department of Environmental quality
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. Clay County WWTP, Hayesville, 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
Perryby Wm Perry Sugg
Sugg 114:33 34-05''00'3
Perry Sugg, Environmental Compliance Branch Head

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 "Firm name" must be exactly as it is shown on your vehicle(s)).
ell
Street address of office: % `f 9A k1,,4 r &4oVQ
City: A4 � 9 5 V i State:_Zip:
Mailing address (if different):
City:
State:
Phone.. _ _ 3 6,/ - <53 < < , , V-ax:
E-Mail: ,Iq 0 •, -
County: 0 VAV Septage Management Firm permit number: NCS #
(2.) Firm owner's name: '"S A �t� / /-/ 5
Mailing address (if different):
City:
Phone:
State:___ _Zip
(3.) Firm operator's name:' g,w,�6 Wg=KPy+ S Firm operator's title: D (ns A/ 2 r
Mailing address (if different):
City: State: Zip:
Fax:
(4.) Type(s) of septage pumped: Write in the number of gallons aumoed in last 12 months (Example: Domestic: 50,000).
Domestic Portable Toilet Waste I Grease (Restaurant) I Treatment Plant
(5.) N.C. Counties of Operation:
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated:
Number used for: Domestic Septage:
Other:
Vehicle Information: (use additional paper if needed)
Grease (restaurant):
Portable Toilet Waste:
License Tag # Vehicle Identification # Tank Capacity
1 ? pt 7.
3 �C 7' i u �11�' a 11r �c�,� �t%� , '< Cc .4. L
APPLICATION CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) ( wryes ( ) 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 15A NCAC 13B .0836(a). I am aware that there are significant penalties for false certification including the
possibility of fine and imprisonment."
Do you attest to the statement above? ( vry—es ( ) no Initial , . Date
(8.) Septage Disposal Method: (check one) r�
a) Approved wastewater treatment plant: ( ✓) 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 if needed)
SLAS#: Expiration Date: SLAS#: Expiration Date:
c) Septage Detention 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: Location:
Training Sponsored or Provided by:
(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:
Hours:
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.
�f§Fature (Signature of companyofficial required)
-aV," Gi#,4CIk)s
Print Name
Other Comments:
10?- C90/_ 01
Date
p W ANL r^
Title
PAGE 2
Rev.04-26-2021

. 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.
(Plant Operator in Res nsible Charge (ORC), ORC License Number, Name of Plant)
(Address)
5Wrs 3pg do hereby authorize s
(Phone Number) (Owner/Operator of Septage Management Firm)
of s J `6 N CS #
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage , portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage . from
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
4!11.Aq 41 �L,-VV H. '%K
or Ao tion)
between the hours of % on a�u� >
No
I
Reintroducing partially treated liquid into a grease trap is acceptable Yes
This authorization shall be valid until f _ 3 ) - a 0-)-3
(Usually December 31, Year)
Signed Date
(Facility Ope(Stor)
Subscribed and affirmed before me this
day of D4. 20 2.1-
-A!5?tt48wh-
My Commission expires:► s ''�.
C
(Nol r Public) j
,t�OTAR ;r -
(OF r�cSEAU• _
cou
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WWTP
Authorization Form 2016

PUBLIC HEALTH DEPARTMENT
December 281h, 2022
Re: Jim's RV Pumping- NCS # 01112
James Watkins- Owner
574 Sawyers Cove Road
Hayesville, NC 28904
To whom it may concern:
I am writing this letter in support of the above reference licensed septage firm. Clay County Local
Government operates the Clay County Recreation Park Campground and Gibson Cove Campground
located on the waters of Lake Chatuge. These two campgrounds have approximately 96 camp sites for
recreational vehicles to rent on a nightly, weekly, bi-weekly, or seasonal basis. These sites presently only
have access to water hookup but no a sewer hookup for their wastewater. The campgrounds have a
total of three approved dump stations for the wastewater to be disposed.
Prior to Mr. Watkins pumping and disposing of the wastewater in the dump stations on site properly,
the majority of recreational vehicle wastewater was being discharged on the ground. The direct negative
impact of this practice was wastewater from recreational vehicle's running onto the ground surface,
exposing campers, animals and potentially flowing into Lake Chatuge. Therefore, the service Mr.
Watkins offers is valuable p9t only for the protection of the environment but also public health.
Environmental Health Program Coordinator
Clay County Health Department