HomeMy WebLinkAboutNCS01227_2023Permit_Initial2023
Permit and Registration
The Plush Flush
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-01227
o and registered as a
e:,e D
NORTH
EQ
A%L i2. ��
-�� 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. City of Hickory WWTP, Hickory, NC
2. Clark Creek WWTP, Newton, 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.
W M
Digitally signed
by Wm Perry
Perry
Sugg
Date: 2023.02.23
S u g g
14:52:19-05'00'
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*
The Plush Flush
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01227
Enter the five digits following the NCS #
Street address of office*
Street Address
PO Box 283
Address Line 2
City
State / Province / Region
Denver
NC
Postal / Zip Code
Country
28037
United States
County*
Lincoln
Mailing address same as street address of office?*
• Yes No
Phone* Fax
704-574-9421
Email*
andy@theplushflush.com
Owner Info
Firm owner's name*
Andrew Allen
Mailing address same as street address of office?*
• Yes No
Phone* Fax
704-574-9421
Operator Info
Firm operator's name* Firm operator's title
Andrew Allen Owner
Mailing address same as street address of office?*
0 Yes No
Phone* Fax
704-574-9421
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 0
Portable Toilet Waste 6,500
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Mecklenburg, Lincoln, Union, Iredell, Cabarrus, Catawba & Surrounding
7Vehicle 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
040?Iew 6499W
Date*
11/10/2022
Title*
Owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Portable Toilet Waste HA6586 3C7WRLELSEG209017 450
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
0 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*
Clark Creek WWTP
Old Brookford Plant
Septage Land Application Sites (SLAS)
Yes • No
Septage Detention or Treatment Facility (SDTF)
Yes • No
Other disposal method*
Expiration Date*
12/31/2023
12/31/2023
Authorization
2023
Authorization
to Discharge
- Clark Creek
WWTP_0001.pdf
2023
Authorization
to Discharge
- Old
Brookford
Plant - City
of
Hickory_0001...
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
8/13/2022 4
Location*
Quality Inn, Morganton, NC
Training Sponsored or Provided by*
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
Date Hours
0
Location
368.03...
340.32...
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
11/10/2022
08:23:33 AM
Print Name* Title*
Andrew Allen Owner
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATME
NT 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_
I, i21 L j I,), < 4 /1D Z I P
(Plant Operator in Respo
&r K �
Charge (ORC�®RCicense Nb umer, Name of Plant}
(Address)
2
51
21 � � �� d 71, do hereby authorize df T
(Phone Number) � l evl1
(Owner/Operator of Septage Management Firm)
of ^! fit r r- ,
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage
portable toilet waste
grease septage (grease trap Pumpings) - commercial/industrial septage
m.. i d , �, from
a
(County or otherr Geographic Area)—
� `
at the above named wastewater treatment facility. Septage shall be discharged at:
�yl
between the hours of /A& —
CIA
&( 2-6`6 � 1 5 9
Reintroducing partially treated liquid into a grease trap is acceptable yes
V No
This authorization shall be valid until �_(Iu4s
�Jl-1
ecember
Signed
I(FiriDatety Operator}
5ubscr' d and affirmed before me this
`day of a G r 20 9
(Notary Public} , MY Commission expires:
:RONAILD L INGRAM]2027
1CIAL SEAL)
RY pUBLICwba Countyth Carolina
My con Expires May $ Note: Falsification of this document by the septage management firm shall lead to permit revocation.
5;/Solid_Waste/cLA/S£pTAGVFORMS/2fl16 Firm Application/WWTP Authorization Form 2016
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, Shawn Pennell City of Hickory
4014 River Rd Hicko NC 28602
(Plant Operator and Name of Plant)
(Address)
828-323-7427 do hereby authorize Andrew Allen
(Phone Number) (Ownerloperator of Septage Management Firm)
of The Plush Flush LLC NCS # 01227
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage-------- , portable toilet waste X
grease septage (grease trap pumpings)-------- commercial/industrial septage
Alexander Burke Catawba Lincoln and Iredeil
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Old Brookford Plant
between the hours of 7:00am and 7:00 m (Location)
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until December 31 2023
(Usually December 31, Year)
Signed
-(Facility Operator)
to and su
(Notary Public)
Date _
from
me this `I day of 20 p�j
My Commission expires:
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
`it
(OFFI 958@1f_NN !fA
�� ••• •••% /ems
ok
• U a
a i HI Z
7� jL_V
L 00v,`�.