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
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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-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