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HomeMy WebLinkAboutNCS01179_2023Permit_Initial2023 Permit and Registration R&R Pumping Service is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-01179 o and registered as a e:,e D NORTH EQ %L 12. 9* -�� Septage Management Firm�� �� w� ��nffii�utr 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. Septage Detention or Treatment Facility, SDTF-34-06, SDTF-60-09 2. Rocky River Regional WWTP, Concord, NC 3. Cross Creek WRF/Rockfish Creek WRF, Fayetteville, 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 by Y Wm Perry Sugg Sugg 114:4228-005'003 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* R & R Pumping Service The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01179 Enter the five digits following the NCS # Street address of office* Street Address 1933 Michelle Dr. Address Line 2 City State / Province / Region Kannapolis NC Postal / Zip Code Country 28083 United States County* Rowan Mailing address same as street address of office?* • Yes No Phone* Fax 7049853707 7049385660 Email* rdk47@live.com Owner Info Firm owner's name* Richard D Kaylor Sr. Mailing address same as street address of office?* • Yes No Phone* Fax 7049853707 7049385660 Operator Info Firm operator's name* Firm operator's title Richard D Kaylor Sr. Owner Mailing address same as street address of office?* 0 Yes No Phone* Fax 7049853707 7049385660 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 10,000 Portable Toilet Waste 0 Grease (Restaurant) 50,000 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: All Counties 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 V-�,"PI�+ Date* 10/14/2022 Title* Owner Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage NM4239 1HSDHSJR2DJ436746 2,500 Grease (restaurant) NM4240 1FUYDZYB2RH457868 4,700 Grease (restaurant) KN1812 1HTKHPUK4L4635574 700 Grease (restaurant) NX9112 1HTKJPVKONH452437 800 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* Liquid Environmental Solutions Rocky River Waste Treatment Septage Land Application Sites (SLAS) * Yes • No Septage Detention or Treatment Facility (SDTF) Yes �) No Expiration Date* Authorization 12/31/2022 Scanned 825.09... Images2022- 10- 14_055226.pdf 12/31/2022 Scanned 1.09MB Images2022- 10- 14_055238.pdf Other disposal method* Yes • No Septage Management Firm Operator Training Completed Date* Hours* 12/20/2021 4 Location* State Fair Ground Raleigh INC 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 }}�, 4Vkj�% Date 10/14/2022 05:19:54 AM Print Name* Title* Richad D. Kaylor Sr. Owner 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 holdeas detention or treatment facility.) I, Licuid Environmental Solutions (Facifty Operator) Offices at.4826 Worth Place, Charlotte, NC 28216 and at 750 Palmer Lane, Winston-Salem, NC 27107 (Operator Address) do hereby authorize: Richard Ka or (Owner of Septage Management Firm) R&R Pvnigg Service NCS # 01179 (Name of Septage Management Firm) 1933 Michelle Drive Kanna olis NC 28083 (Address of Septage Management Firm) to utilize septage detention or treatment facility # STDF 34-06 & STDF 60-09 for the treatment or storage of septage * in 202_ 1-2022 . The facility will he operated in accordance with the Septage Management Rules **- Date: 3109/22 Signed (FaaAy Q ator) Joe yberry, Processing Facility Manager * 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 Environment and Natural Resources Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 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, N.C. 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. I, Scott McCoy #24382 Cross Creek WRF 1 Rockfish Creek WRF (Plant Operator In Responsible Charge (ORC), ORC License Number, Name of Plant) P.O. Box 1089 Fayetteville, NC 28302-1089 (Address) _(9101223-4700 _do hereby authorize Richard Ka for (Phone Number) (Owner/Operator of Septage Management Firm) of R & R Pumping Service NCS# 01179 (septage Management Firm Name and NCS number) to dispose of: domestic septage X , portable toilet waste grease septage (grease trap pumpings) commercial/industrial septage , from Cumberland & surrounding counties (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at - Facility Influent Pump Station (Location) between the hours of . Sunrise to Sunset Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until December 31 2023 Signed 941 Date_ Lf C I U2 (Facility ator) Subscribed and affirmed before me this day of 20� My Commission expires: �7 (Notary Public) t���„� Note: Falsification of this document by the septage management firm shall lead to permit revocation. S:ISolid_ Waste/CLA/SEPTAGEIFORMS12023 Firm Applicat ionlWl+VTP Authorization Form 2023 Moe - 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.) I, Li uid Environmental Solutions (Facility Operator) Offices at 4826 Worth Place, Charlotte, NC 28216 and at 750 Palmer Lane, Winston-Salem, NC 27107 (Operator Address) do hereby authorize: Richard Ka for (Owner of Septage Management Firm) R&R PumRinq Service NCS # 01179 (Name of Septage Management Firm) 1933 Michelle drive Kanna olis NC 28083 (Address of Septage Management Firm) to utilize septage detention or treatment facility # STDF 34-06 & STDF 60-09 for the treatment or storage of septage * in 2022-2023 . The facility will be operated in accordance with the Septage Management Rules Date: 1Oil 8/22 Signed C. acility D rator) Joe Mayberry, Processing Facility Manager As defined in G.S.130A-290(a)(32) *' As defined in 15A NCAC 13B .0800 Retum the properly completed form to: North Carolina Department of Environment and Natural Resources Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina ❑epartment of Environmental Quality Division of Waste Management - Solid Waste Section 1646 Mail Service Center, Raleigh, NC27699-1646 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. I,_ James Christian Sims. #999309, Rooky River Regional Wastewater Treatment Plant (Plant Operator In Responsible Charge (oRC), ORC License Number, Name of Plant) 6400 Breezy Lane, Concord, North Carolina 28025 (Address) 704-788-4164, x114 do hereby authorize Richard Kaylor (704-985-3707) (Phone Number) (Owner/Operator of Septage Management Firm) of R&R Pumping Service NCS # 01179 (Septage Management Firm Name and NCS number) to dispose of: domestic septage YES , portable toilet waste YES grease septage (grease trap pumpings) NO commercial/industrial septage NO from Cabarrus and surrounding counties. (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: 6400 Breezy Lane, Concord, NC 28025 (Location) between the hours of 7AM and 7PM Monday -Saturday; Sunday upon request. Reintroducing partially treated liquid into a grease trap is acceptable Yes d No This authorization shall be valid until December 31, 2023 (Usually December 31, Year) Signed 21Date October 18, 2022 James Christian Sims, Facility ORC Subscribed and affirmed before methis A) 18th day of October 20 22 My Commission expires: May 15, 2025 Angela Hill, Notary Public Note: Falsification of this document by the septage management firm shall lead to permit revocation. 5:/Solid_Waste/CLA/SEPTAGE/FGRMS/2018 Firm ApplicatlonlWWTP Authorization Form 2018