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HomeMy WebLinkAboutNCS01252_2023Permit_Initial2023 Permit and Registration Nichols Plumbing & Piping Inc. is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-01252 o and registered as a e:,e D NORTH EQ�J A%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-78-22 2. 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 PerryWm Perry Sugg Sugg 114:58 10— 3 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* Nichols Plumbing & Piping Inc The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01252 Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX) Street address of office* Street Address 332 NE 52nd St. Address Line 2 City Oak Island Postal / Zip Code 28465 County* Brunswick Mailing address same as street address of office?* • Yes No Phone* 910-484-4642 State / Province / Region North Carolina Country Brunswick Fax 910-933-4472 Email* karen1973@nc.rr.com Owner Info Firm owner's name* Norman Nichols Mailing address same as street address of office?* • Yes No Phone* Fax 910-709-1888 910-933-4472 Operator Info Firm operator's name* Firm operator's title Norman Nichols Owner Mailing address same as street address of office?* 0 Yes No Phone* Fax 910-709-1888 910-933-4472 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 165,465 Portable Toilet Waste 0 Grease (Restaurant) 64,697 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of oberation List each county you plan to do business in: * Bladen, Brunswick, Carteret, Cumberland, Duplin, Harnett, Hope, Lee, Robeson, Durham, Wake, New Hanover, 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 d Date* 12/29/2022 Title* Owner Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage FD-5757 3RWF7FOCV159848 1,500 Grease (restaurant) FD-5757 3RWF7FOCV159848 15,000 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* Cross Creek WRF 12/31/2023 Scan 2022122... 2.41MB Septage Land Application Sites (SLAS) * Yes • No Septage Detention or Treatment Facility (SDTF) * • Yes No Permit Verification I certify that I AM the permit holder for this SDTF. If unchecked, please attach a signed detention/treatment authorization form for each site. 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 # * Expiration Date* Authorization SDTF-78-22 12/31/2023 SLAS 204.52... Authorizatio... Plumbing.pdf Other disposal method* Yes • No Septage Management Firm Operator Training Completed^ Date* Hours* 2/19/2022 4 Location* NC State Fairgrounds Raleigh 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 � Ald Date 12/26/2022 12:24:29 PM Print Name* Title* Norman Nichols Owner 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 o f facility. The facility has the ultimate prerogative to deny discharges o wastewater stream Is! Scott McCo #24382 f the wastewater treatment any wastes to the incoming Cross Creek WRF I Rockfish Creek WRF (Plant Operatorin Responsible Charge (ORC), ORC License Number, Name of Plant) Box 1089 Favettevaille, NC 28302=1089 910) 223m4700 (Phone Number) Nichols Plumb'in 8 Pioin to dispose of: domestic septage (Address) do hereby authorize Norman Nichols (Owner/'Operator of Septage Management Firm) (Septage Management Firm Name an X ,portable toilet wasp grease septage (grease trap punipings) Cumberland & surrou.ndmin NCS# 01252 d NCS number) commercial/industrial septage ,from counties (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: between the hours of Fac Sunrise to Sunset ility influent,- Pum (Location) Station Reintroducing partially treated liquid*Into a grease trap is acceptable Yes X No This authorization shall be valid until MM.December 31, 2023 Signed �-� Date, Z 2 (Facility Op6rator) Subscribed and affirmed before me this d r day of My Commission expires: V JHO IG;iAt'5EP,�F 0p'got> 00 Note: Falsification of this document by the septage management firm shall lead to permit revocatior� S:/Sohd so ae Firm Applicafion/WWTP Authorization Form 2023 10C.'-, AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE LAND APPLICATION SITE PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a land application site permit holder to indicate that permission has been given to a permitted Septage Management Firm to land apply septage on the permit holders land application site.) Enviro-Choice Recycling, LLC (Site Operator) 3330 Saddletree Road, Lumberton, NC 28360 do hereby authorize: (Operator Address) (Owner of Septage Management Firm) NCS # (Name of Septage Management Firm ) (Septage Management Firm Address) to use septage disposal site # 78-22 Date: 12/22/2022 for the disposal of gallons of Septage* in 20 Signed ( pera * As defined in G.S. 130-A-290(a)(32). The site will be operated in accordance with 15A NCAC 13B .0800 - Septage Management Rules Return the properly completed form to: North Carolina Department of Environmental Quality Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646