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HomeMy WebLinkAboutNCS01231_2023Permit_Initial2023 Permit and Registration Deployed Resources is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-01231 o and registered as a e:,e D NORTH EQ�J %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. Spring Lake WWTP, Spring Lake, NC 2. Moore County Water Pollution Control Plant, Aberdeen, 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 Perryby Wm Perry Sugg 0 Sugg 14:5255— 05''00 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* Deployed Resources LLC The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01231 Enter the five digits following the NCS # Street address of office* Street Address 164 McPike RD Address Line 2 City State / Province / Region Rome NY Postal / Zip Code Country 13441 USA County* Out -of -State Mailing address same as street address of office?* • Yes No Phone* Fax 315-281-0039 Email* transportation@deployedresources.com Owner Info Firm owner's name* Richard Stapleton Mailing address same as street address of office?* • Yes No Phone* Fax 315-281-0039 Operator Info Firm operator's name* Firm operator's title Damika Wilson Field Technician Mailing address same as street address of office?* 0 Yes No Phone* Fax 315-269-1200 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 551,400 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: Moore and Cumberland 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 aaM� w1kaw Date* 11/17/2022 Title* Field Technician Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage 21431PC 3FRXF7FE7BV692375 2,300 Domestic Septage 69736PC 1FVABTBV53HK62017 1,500 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* Moore County Water Pollution Control Plant Spring Lake Regional Wastewater Treatment Facility Septage Land Application Sites (SLAS)* Yes • No Septage Detention or Treatment Facility (SDTF) Yes • No Other disposal method* Yes • No Expiration Date* Authorization 12/31/2023 Moore 169.59... county.pdf 12/31/2023 Cumberland 164.65... county.pdf Septage Management Firm Operator Training Completed Date* Hours* 6/25/2022 4 Location* New Berlin, NC 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 aomi�a WIX&M Date 11/17/2022 03:25:30 AM Print Name* Darrika Wilson Title* Field Technician AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Departent 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. RICHARD MENDEZ (910-308-3098) SPRING LAKE REGIONAL WASTEWATER TREATMENT FACILITY (Plant Operator and Name of Plant) 350 Harps St. Spring Lake NC 28390 (Address) Do hereby authorize Rich Stapleton Owner/ (Operator of Septage Management Firm) Address 164 McPike Rd Rome NY 13441 OF Deployed Resources (Septage Management Firm Name) To dispose of domestic septage X , Grease septage (grease trap pumpings) Phone # 1-315-281-0039 Portable Toilet Waste X Commercial / industrial septage , from CUMBERLAND & SURROUNDING COUNTIES (County or other Geographic Area) At the above named wastewater treatment facility. Septage shall be discharged at: SPRING LAKE WWTP (Location) Between the hours of 8 AM - 5 PM MON - FRI This authoriztion shall be valid until DECEMBER 31, 2023 No X 20 22 missiohn Expires: Note: Falsification of this document by the septage management firm shall lead to permit revocation. NCS # 01231 V, 9FPt9IYSEAL) .�0' n NoTA;?k j0ve�ic 2 • °,�: 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. I, Stephen G Morgan, ORC, Biological WW Operator 4 #997509, Moore County Water Pollution Control Plant (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 910-947-4345 (Phone Number) of 1094 Addor Road Aberdeen, North Carolina 28315 (Address) do hereby authorize Lax & Al ebp r) (Owner/Operator of teptage Management Firm) (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 from Q13/ Within the boundaries of Moore County, North Carolina OR a contracted service area of the WPCP (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Septic Receiving Station located at the Moore County WPCP (unless otherwise specified by the ORC) (Location) between the hours of 7:00am to 5:00pm, Monday thru Friday (excluding observed holidays) Reintroducing partially treated liquid into a grease trap is acceptable Yes No No This authorization shall be valid until December 31, 2023 (Usually December 31, Year) Signed Date It ' 4' 0 � (Facility Operator) Subscribed and affirmed before me this (Notary Public) Samuel A 9/h day of�/pf/elN�itl' 20 Z 2 My Commission expires: .tune 28, 2027 Samuel A Ring (OF ICIAL SEAL) NOTARY PUBLIC Moore County, NC Note: Falsification of this document by the septage S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018