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Home My WebLink AboutNCS01151_2023Permit_Initial2023 Permit and Registration Atlantic OBX is hereby issued a Septage Management Firm Permit, STATE Permit Number NCS-01151 oand registered as a e:,e D NORTH CAROUNA EQ�J %L 12. � -�� Septage Management Firm awnen� f� wrnmenta�lty 9 E,%r Q'M 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. Elizabeth City WWTP, Elizabeth City, NC 2. Septage Land Application Sites, SLAS-27-18, SLAS-27-19, SLAS-27-20, SLAS-27-21, SLAS-27-22 3. Septage Detention or Treatment Facility, SDTF-27-19, SDTF-27-22, SDTF-27-17 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 PerryWm Perry Sugg Sugg 114:37533— 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* Atlantic OBX, Inc. The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01151 Enter the five digits following the NCS # Street address of office* Street Address 8490 Caratoke HWY Address Line 2 City State / Province / Region Powells Point North Carolina Postal / Zip Code Country 27966 United States County* Currituck Mailing address same as street address of office?* Yes • No Mailing Address* Street Address P.0 Box 2560 Address Line 2 City State / Province / Region Kitty Hawk North Carolina Postal / Zip Code Country 27949 United States Phone* Fax 2522552030 252-255-0702 Email* service@atlanticsewage.com Owner Info Firm owner's name* Bryan Lincoln Mailing address same as street address of office?* Yes 0 No Mailing Address* Street Address P.0 Box 2560 Address Line 2 City Kitty Hawk Postal / Zip Code 27949 State / Province / Region North Carolina Country Dare Phone* Fax 2522552030 252-255-0702 Operator Info Firm operator's name* Firm operator's title Bryan Lincoln President Mailing address same as street address of office?* Yes • No Mailing address* Street Address P.0 Box 2560 Address Line 2 City State / Province / Region Kitty Hawk North Carolina Postal / Zip Code Country 27949 Dare Phone* Fax 919-413-3105 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 6,627,160 Portable Toilet Waste 325,205 Grease (Restaurant) 2,053,607 Treatment Plant 11 , 374,950 Industrial/Commercial 522,950 North Carolina counties of operation List each county you plan to do business in: * Camden, Chowan, Currituck, Dare, Hyde, Pasquotank, Perquimans, Tyrrell. Vehicle Info Do you plan to operate pumper vehicles?* 0 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* 12/12/2022 Title* 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. Vehicle List 22.pdf 50.64KB 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* Elizabeth City Expiration Date* Authorization 12/31/2023 Septage Land Application Sites (SLAS)* • Yes No If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #* Expiration Date* Authorization SLAS-27-18 4/1/2024 SLAS-27-19 6/1/2021 SLAS-27-20 4/1/2024 SLAS-27-21 2/26/2021 SLAS-27-22 6/30/2031 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-27-19 4/17/2022 SDTF-27-22 4/17/2022 SDTF-27-17 4/17/2022 Other disposal method* Yes • No Septage Management Firm Operator Training Completed Date* Hours* 12/8/2022 6 Location* NCRWA Virtual Seminar Training Sponsored or Provided by* NC DEQ - New Operator Training Septage Land Application Site Operator Training Completed^ Date Hours 12/8/2022 6 Location NCRWA Virtual Seminar Training Sponsored or Provided by NC DEQ - New Operator Training 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 SLAS Permits 27-18, 27-19, 27-20, and 27-21 have submitted modifications and/or renewals to match SLAS Permit 27-22. All SDTF permit renewals have been submitted. 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 12/8/2022 01:28:16 AM Print Name* Bryan Lincoln Title* service@atlanticsewage.com Landowner's Authorization to Operate a Septage Land Application Site North Carolina Department of Environmental Quality Division of Waste Management - Solid Waste Section 1646 Mail Service Center, Raleigh, NC 27699-1646 John M. Fisher (name of site owner) hereby certify that I am the owner of 25 acres of land located off of SR1124 (Fisher Landing Rd.) in Currituck Cou identified by deed Book 228, Page 160 (book and page of recorded deed or tax map parcel) and that I agree to allow Atlantic OBX, Inc (site operator name) to use said land for septage land application for a period of Tth C10 113 (length of time), beginning aqQ ZD? tive IJ date) and that I have read the North Carolina Septage Management Rules *r and I understand and agree to maintain the restrictions on land use after septage land application ends **. I further understand that no septage may be land applied until the Division of Waste Management has issued a permit for a septage land application site. The above described property is owned solely by me orjointly with None (names of all co -owners, or state none). 11641,2-- Signature of landowner Date Signature of landowner _ Date Sworn to and subscribed before me this A' day of Y1 V 20_21 (Notary Public) My Commission expires: * 15A N.G. Admin. Code 13B Section .0800 **As required by Rule .0843 Brooke M Farris (0FR ff4#kIC Currituck County, NC My Commission Expires February 22, 2025 Rev. 01-07-16 Atlantic OB, Inc. Pumper Vehicle List No.# Year Blake Model Vin No. Tank size Tag H- 2011 PETERBILT 365 1XPSD79X1}RD129050 4000 Waiting on tags H-10 2006 MACK G 4 GRANITE SERIES lM2.AG11COGM033947 4,000 YA121972 H-11 2012 MACK GU713 1M2.A20704M012838 4,650 YA145971 H-12 2019 PETERBILT 399 1NPXL40X4KD63952,5 4,750 YA145972 H-15 2013 MACK GU713 1M2-A.X07C9DM0145 4,750 YA.137315 H-15 2004 INTERNATIONAL GX6 7400 1HTWJADT54J021611 3200 YA165246 H-3 2007 INTERNATIONAL Pump truck 1HTXRSCTB73479703 4,500 YA125996 H-4 2011 MACK GU70O IM2AX07C1BlM010561 4,750 YA137316 H-5 2002 MACK U 2117 BBC STEEL 1M2R267C72MO52322 4,000 YA121574 H-la 1995 FORD GX4LTS SERIES 1 1FDZY90T7SVA7193S 4,000 YA121971 H-8 2012 INTERNATIONAL 7500 6 4 1HTWNAZT9CJ599663 4300 YA157247 H-9 2004 MACK 6 4 GRANITE SERIES 1M2#G11C044MO12335 4,000 YA121,969 PT-1 2002 INTERNATIONAL PORT A POTTY 1HTM IMAA L12H5 34994 1,100 EE8622 PT-10 2015 FORD PORT A POTTr 1FDUF5HTOKED02199 750 KX4999 PT-11 2001 FORD 4 4 PORT POTTr 1FTS;Jti{311`51EA02133 750 NZ9742 PT-12 2016 FORD F-750 1F D WF 7D C3 G DA02944 750 RC4843 PT-13 2017 HIND CONVENTIONAL 5PVNJ8JL8114S51914 750 RC4844 PT-2 2002 INTERNATIONAL PORT A POTTY 1HTlti KAAL 2H552123 1,600 DC3011 PT-4 2015 MIFU PORT A POTTY JL6AMG1A9FK000602 500 KF9744 PT-5 2016 INTERNATIONAL PORT A POTTY 1HTMMMML8GH226464 2,500 HS7934 PT-6 2016 GMC PORT A POTTY 1GD31VC91GF144331 750 VV69576 PT-7 2017 PETERBILT 337 2NP2HMGX5HM414119 1,500 JV9997 PT-8 2019 CHEVY -SILVERLIDO 5500 1HTKHPVKXKH324147 1;000 KF8955 PT-9 2019 CHEVY -SILVERADO 5500 1HTKHPI KOKH604286 1;000 KF8952 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 Responsible Charge (ORC), ❑RC License Number, Name of Plant) (Address) ,25d-337-M,24 do hereby authorize Bryan Lincoln (Phone Number) (Owner/Operator of Septage Management Firm) of Atlantic DBX Inc. NCS # 01151 (5eptage Management Firm Name and NCS number) to dispose of: domestic septage L� , portable toilet waste grease septage {grease trap pumpings} corn mercial/industrial septage , from Camden, Chowan, Currituck, Dare, Hyde, Pasquotank, Perquimans, Tyrell (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: 450 Knobbs Creek ❑r. Elizabeth City, NC, 27909 (Location) between the hours of 0800 to 1700 Reintroducing partially treated liquid into a grease trap is acceptable Yes No This authorization shall be valid until e ( "r �) > ' 3 (Usually December 31, Year) Signed _ Date a 0-\ (Facility Operator) Subscrib d an affirmed fare me this day of 20 My Commission expires; (Notary Public) (OrrICiAL SEAL) Note: Falsification of this document by the septage management firm shall lead Zo perm t revocation. 5:/Solid_Waste/Ci.A/5EPTAGE/F0RMS/2018 Firm Applicabon/WWTP Autharization Form 2018