NCS01123_2023Permit_Initial

2023
Permit and Registration
Matthews Sanitation Services, LLC
is hereby issued a Septage Management Firm Permit,
�szArr of
17 Permit Number NCS-01123
o and registered as a e D
-�= Septage Management Firm �� fE w� nmentalQulity
44 QIIAM
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:
Maple Avenue WWTP, South Boston, VA
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
Sugg
Digitally signed by
Wm Perry Sugg
Date: 2023.02.23
14:34:25-05'00'
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*
Matthews Sanitation Service
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01123
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
1226 Hudson Road
Address Line 2
City
State / Province / Region
Virgilina
VA
Postal / Zip Code
Country
24598
United States
County*
Halifax
Mailing address same as street address of office?*
• Yes No
Phone* Fax
4345726098
Email*
[e-mail]
Owner Info
Firm owner's name*
Brian Matthews
Mailing address same as street address of office?*
Yes •) No
Mailing Address*
Street Address
1073 Hudson Rd
Address Line 2
City State / Province / Region
Virgilina VA
Postal / Zip Code Country
24598 USA
Phone* Fax
4344700105

Operator Info
^J
Firm operator's name*
Firm operator's title
Brian Matthews
owner
Mailing address same as street address of office?*
Yes • No
Mailing address*
Street Address
1073 Hudson Rd
Address Line 2
City
State / Province / Region
Virgilina
VA
Postal / Zip Code
Country
24598
USA
Phone* Fax
4345726098
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 80,000
Portable Toilet Waste 5,000
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Caswell, Granville, Person
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*
12/21/2022

Title*
Owner
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.
PUMPERTRUCKLIST.pdf 1.19MB
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
• 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* Expiration Date* Authorization*
Maple Ave WWTP
Septage Land Application Sites (SLAS)*
Yes • No
Septage Detention or Treatment Facility (SDTF)*
Yes • No
12/31/2023 WWTP2023.pdf 2.41MB
Other disposal method*
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
1/14/2023 5
Location*
Raleigh, NC
Training Sponsored or Provided by*
NC Pumper Group & NC Portable Toilet Group
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
Date
12/21/2022
10:58:30 AM
Print Name* Title*
Brian Matthews Owner

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PUMPER TRUCKS
qd
2Q191nternationat 75D0 —Septic tank pumper so 4a0D gallons
V1N#3H,AWNTATXKLS?5407
2018 lnternationa
1—Plate# TA948 98 *am*
VIN#3HAWNTATS.iL524423
If LLA,
an &
Septioc tank pumper truck — 4fl00 gallons
2f31i Peterbuiit mw plate# TA948-93'--Septic tank pumper truck New 4flQ0 gallons
111N#2 N P3UOK7HM4324-60
2017 Dodge 5500 on" Piate#'iX265-768 —Portable Toitet pumper truck — 1100 gallons
T
VlN#3C71lURNSI.OHG625559 40
2015 e Dod9 55flt} — Flate#TX288-789 awo Partabie trtack ftwo 1100 gallons
4
ViN#-3C7WRNBLXFG5.30665
-1
2t312 Ford F550-* Plain#TA948-74 -w Portable Toilet Pumper truck tw" 2100 gallons
ViN#1FDUF5HTOCED00443
1%
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AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
dL
1646 Mai! 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.
0� 11C.s . C4 5
(Plant Operator in Responsible Charge (ORCI, ORr iicense number, Name of Plant}
,or
V. . Il X
na: _i
(Phone Number)
MEN
(Address)
An
qA 40
4TAt
tvwner/uperator ot septage Management Firm)
of < NCS #mil
(Septage Management Firm Name and NC5 numbed
1000
to dispose of:do estic septage ✓ ,portable toilet was
grease septage (grease trap pumpings
at the above named wastewate
between the hours of
(County o
r treatment fa
te
commercial/industrial septage
rather
cilitys
410000"1
Geographic Area)
Setapge shall be discharged at:
(Location)
- t.0 orn
Reintroducing partially treated liquid into a grease trap is acceptable Yes
This au
thorization shall be valid until
Si ned
9 mmmmmop&lm (LIn Cl
Cl
(Facility Operator)
Subscribed and affirmed before me this
Lw
(Notary Public)
(Usually December 31, Year)
No
gate - 7�
from
day of eee:,,r20��
My Commission expires:
Note: Falsification o
f this document by the septage management firm shall lead
S:/Solid Firm AppficationjWWTP Authorization Form 201,8
3
Geographic Area)
Setapge shall be discharged at:
(Location)
- t.0 orn
Reintroducing partially treated liquid into a grease trap is acceptable Yes
This au
thorization shall be valid until
Si ned
9 mmmmmop&lm (LIn Cl
Cl
(Facility Operator)
Subscribed and affirmed before me this
Lw
(Notary Public)
(Usually December 31, Year)
No
gate - 7�
from
day of eee:,,r20��
My Commission expires:
Note: Falsification o
f this document by the septage management firm shall lead
S:/Solid Firm AppficationjWWTP Authorization Form 201,8
3