NCS01225_2023Permit_Initial

2023
Permit and Registration
B&R Septic LLC
is hereby issued a Septage Management Firm Permit,
sTArE� _ Permit Number NCS-01225
oand registered as a
NORTH
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-�� Septage Management Firm�� �� w� ��nffii�utr
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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-98-08
2. Central Johnston County Regional WWTP, Smithfield, NC
3. Johnnie Mosley Regional WRF, Kinston, 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
Date: 2023.02.23
Sugg 14:51:19-05'00'
Perry Sugg, Environmental Compliance Branch Head

State of Northvaraiina ,application for Permit tO Operate a
Environmental Quality
Waste Management Septage Management Firm
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
B&R Septic LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
01225
Enter the five digits following the NCS #
Street address of office
Street Address
207 Western Wayne Dr
Address Line 2
City
Pikeville
Postal / Zip Code
27863
County*
Wayne
Mailing address same as street address of office?
Yes No
Phone *
91973688585
Email *
[e-mail]
Owner Info
Firm owner's name*
Clifton & Jeana Griffin
State / Province / Region
NC
Country
USA
Fax

Mailing address same as street address of office?
- Yes No
Phone *
9197368858
Operator Info
Firm operator's name*
Clifton Griffin
Mailing address same as street address of office?*
Yes No
Fax
Firm operator's title
Owner Operator
Phone* Fax
9197368858
Type and amount of septage pumped in the last 12 months
Amount in gallons
Domestic •►0 ►0►
Portable Toilet Waste 0
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Wayne, Lenoir, Duplin, Wilson, Johnston
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*
��46-t
Date*
11/30/2022
Title
manager/owner
Choose how to add vehicle descriptions
Add vehicles
Upload
individually
List
Pumper Vehicles
Usage*
License Tag # *
Domestic Septage
YA150965
Domestic Septage YA142764
Vehicle Identification #* Tank Capacity*
1NKBL50X2DJ343501 4,200
1FDYW82AXMVA22257 3,000
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*
Expiration Date* Authorization
Johnnie Mosley Regional Water
Reclamation Facility
Central Johston County Regional
Wastewater Treatment Plant
Septage Land Application Sites (SLAS)
Yes No
12/31 /2023 Document_2... 727.7...
12/31 /2023 Document_2... 727.7...
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-00953
Other disposal method
Yes r No
Expiration Date
12/31 /2023
Authorization
Document_2... 727.7...
Septage Management Firm Operator Training Completed
Date* Hours
10/11/2022 6
Location *
Smithfield, NC
Training Sponsored or Provided by
NC Septic Tank Association
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
Certification 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
11/30/2022
07:25:21 AM
Print Name*
Clifton L Griffin
Title
Manager/Owner

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
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.
I, Kenneth R. Stevens Jr.- Wastewater License #21198 Johnnie Mosley Regional Water Reclamation Facilily
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
R 0 Drawer 339 Kinston NC 28502
(Address)
252-939-3375 do hereby authorize Clifton Griffin
(Phone Number) (Owner/Operator of Septage Management Firm)
of B & R Septic, LLC NCS_ #01225
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X , portable toilet waste X _
grease septage (grease trap pumpings) commercial/industrial septage , from
Lenoir and surrounding counties
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Johnnie Mosley Regional Water Reclamation Facility- 2101 Becton Farm Road
Briery Run Lift Station- Highway 55 East
(Location)
between the hours of 8:00 a.m. to 4:00 o.m. (Monday thru Friday)
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until December 31 2023
Signed Date
(Facility Operator)
Sworn to and subscribed before me this A2
day of &jZ_ 1_ 20 22
My Commission expires:
(Notary Public)
Note: Falsification of this document by the septage management firm shall lead to permit
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2013 Firm Application/WWTP Authorization Form 2018

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, Daniel L. Newsome
(Facility Operator)
441 Buck Newsome Road Fremont NC 27830
(Operator Address)
do hereby authorize: Clifton rgMg L C--y4—,
ICheinar of Santaaa mnnaaprnent Firm)
.... ..-r--o- . a
B&R Septic NCS # OM 00 / .;t, &f
(Name of Septage Management Firm)
207 Western Wayne Dr, Pikeville_ NC: 27863
(Address of Septage Management Firm)
to utilize septage detention or treatment facility # 00953 198-08),_ for the treatment or storage of
septage *
in 2023. The facility will be operated in accordance with the Septage Management Rules **.
Da tc: l l%V 1.1122 Jlgl e-u —"
4
i Operator)
* As defined in G.S. 130A-290(a)(32)
** As defined in 15A NCAC 138.0800
Return the properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh 1`NC.'.7699--16^5
. ,�,. �,

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
Division of Waste Management - Solid Waste Section
401 Oberlin Rd., Ste. 150, Raleigh, N.C, 27605
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, John D. Wall Central Johnston County Regional Wastewater Treatment Plant
(Plant Operator and Name of Plant)
Post Office Box 2263 Smithfield, North Carolina 27577
(Address) ! j� rn
i 919'� 989-5075 do hereby authorize C (// / Aj-1 {� TY •i h k NCS#
(Phone Number) (Owner/Operator of Septage Management Firm)
of L t C- joi On A 17(_ 17JS3
(Septage'MakagerdAnt Firm Name and address)
Email Address: Q 6 I ['_ S g A Ccc 1 a,5 c�_. C 0 n�
to dispose of: domestic septage _ ,� , portable toilet waste
Johnston County does not accept grease traps and pumpings.
Johnston County. North Carolina
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Johnston County Sludge Handlini Facility, 680 County Home Road, Smithfield. North Carolina
(Location)
between the hours of 8:00 A.M. thru 4:45 P.M. -Monday through Friday.
Reintroducing partially treated liquid into a grease trap is acceptable Yes _X No
This authorization shall be valid until December 31.2023 _
December31, Year) J
Signed Date
John D. Wall (Facility Operator)
Sworn to and subscribed before me this
-- day of
A c0-_--'-o My Commission expires: 4-1-2023
Nancy House (Notary Public)
(OFFICIAL SEAL)
'Waste generated in other counties will not be accepted. All waste must be
generated in Johnston County. NANCY HOUSE
Note: Falsification of this document by the septage management firm NOTARY PUBLIC
shall lead to permit revocation. I JOHNSTON COUNTY, N.C.
My Commlesion Expires 4-1-2023.

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North Carolina Department of Environmental Quality
Division of Waste Management INVOICE
NORTH CAROLINA
E,Ommo,mtctuaurje Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Phone/Fax: [phone]
Email: [e-mail]
Septage - Annual:
B&R Septic LLC (NCS-01225)
207 Western Wayne Drive
Pikeville, NC 27863
Number of Trucks: 3
LATE FEES:
To: Clifton Griffin
B&R Septic LLC
207 Western Wayne Drive
Pikeville, NC 27863
PAI
CK NM -
/ 2 '-
DATE
2 - 22 - 2Z-
j>m on
Date Due:
Date: 09/27/2022
Invoice #: NCS-01225-2023
Payment Options:
E-check Available online at https://dea.nc.gov/swpay
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card Available online at httsp //deQ.nc. og v/swpay
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number shown
on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
[*Convenience Fee of 2.65% added to amount invoiced.]
Paper check Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number on
check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy of this
invoice with your payment.
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Exnlanation of Invoice Amount is Based on Firm's Current Permit Status:
Pursuant to North Carolina General Statute 130A-291.1 you are required to pay fee(s) based on your solid waste management
activities. The fee(s) shall be used to support the septage management program.
For questions retiardinQs
Billing
Regulations or Technical Assistance
Jared Wilson [phone]
Chester Cobb [phone]
Jeffrey Bullard [phone]
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - https:[/deq.nc.clov
North Carolina Solid Waste Program - Itt_ns_//dea.nc.gotdabout/divisions/waste-manaaement/solid-waste-section
North Carolina Septage Management Program - httos //deq nc ciov/about/divisions/waste-manaQement/solid-waste-section/special-wastes-and-alternative-
handlina/seotaae