NCS01208_2023Permit_Initial

2023
Permit and Registration
R&R Septic & Porta-Toilets
is hereby issued a Septage Management Firm Permit,
STATE,, _ Permit Number NCS-01208
oand registered as a e:,e D Qi�
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. Septage Detention or Treatment Facility, SDTF-03-04
2. Septage Land Application Site, SLAS-03-04
3. Mount Airy WWTP, Mount Airy, 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 Perry Digitally signed by
Wm Perry Sugg
Date: 20
Sugg 114:4922-0500'3
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 Septic & Porta-Toilets
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01208
Enter the five digits following the NCS #
Street address of office*
Street Address
3572 Peppers Ferry Road
Address Line 2
City State / Province / Region
Wytheville VA
Postal / Zip Code Country
24382 USA
County*
Out -of -State
Mailing address same as street address of office?*
• Yes No
Phone* Fax
276-228-3548 276-228-7685
Email*
[e-mail]
Owner Info
Firm owner's name*
William Aaron Robinson / R & R
Enterprises, Inc
Mailing address same as street address of office?*
• Yes No
Phone*
276-228-3548
Operator Info
Fax
276-228-7685
Firm operator's name* Firm operator's title
William Aaron Robinson President
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
276-620-0533 276-228-7685
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic
289,200
Portable Toilet Waste
60,000
Grease (Restaurant)
500,000
Treatment Plant
0
Industrial/Commercial
0
North Carolina counties of operation
List each county you plan to do business in: *
Ashe, Alleghany, Surry, Stokes, Wilkes, Yadkin, Forsyth, Davie
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*
11/3/2022
Title*
President
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage*
License Tag #*
Vehicle Identification #*
Tank Capacity*
Grease (restaurant)
64373P
1NPALBTX37N671927
3,350
Domestic Septage
63985P
2NKHLN9C6DM361487
3,350
Portable Toilet Waste
TX306398
2NPNH07X53M596571
2,000
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*
MOUNT AIRY WASTEWATER TREATMENT PLANT
Expiration Date* Authorization
12/31 /2023 AUTHORIZATIO... 293.32...
R&RSEPTIC.pdf
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 # *
SLAS-0304
Expiration Date*
3/10/2027
Authorization
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 #*
SDTF-0304
Other disposal method*
Yes • No
Expiration Date*
3/10/2027
Authorization
Septage Management Firm Operator Training Completed^]
Date* Hours*
8/13/2022 4
Location*
MORGANTON, NC
Training Sponsored or Provided by*
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed ^
Date Hours
8/13/2022 3

Location
MORGANTON, NC
Training Sponsored or Provided by
NC Pumper Group & NC Portable Toilet Group
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
10/31/2022
02:16:28 PM
Print Name* Title*
William Aaron Robinson President / Owner

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
Forth Carolina Department of Envirormental Quality
Division of Waste Management - Solid Waste Sectior
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.
is
(Plant Operator in Responsible Charge (ORG), ORC Lice
{Address)
A 1,9&n.
Number, Name of plant)
- -7- 3 c)
--2' do hereby authorize T
A
�(P�one Number) _-_ (Owner/Operator of Septage Management Firm)
of -V-, 'I
(Septage Management Firm Narne and NCS number)
to dispose of; domestic septage . Z , portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage , from
114
%j 1(Counfy or other Geograph'fc Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
between the hours of
(Location
��`ta ! ��
Reintroducing partially treated liquid into a grease train is acceptable Yes 4" No
This authorization s all be valid until _ �+� ya-�
(Usually December 1, Year)
Signed - -O.T Date �/ �y'?Z
(Facility Operator)
Subscribed and affirmed before me this day
of � '
My Commission expires:i
(Notary ublic)
NOTARY PUBLIC
' CHRISTOPHER J. WALLACE (OFFUAL SEAL)
Su Cosirtt , lVnrth Carolina
Note: Falsification of this document by the septage management firm shall lead to permit revocation,
5:/5olyd_Waste/CLA/SEP7AGE/FORMS/2018 Flrm Applicatiun/WWTP Authorization Farm 2018