NCS01253_2023Permit_Initial

2023
Permit and Registration
Driggers Septic Tank
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01253
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. City of High Point Eastside WWTP, Jamestown, NC
2. Septage Detention or Treatment Facility, SDTF-76-06
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
Sugg 14:58:39-005'003
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*
Driggers Septic Tank
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01253
Enter the five digits following the NCS #
Street address of office*
Street Address
7096 Beane Rd.
Address Line 2
City
State / Province / Region
Archdale
North Carolina
Postal / Zip Code
Country
27263
United States
County*
Randolph
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
3364346202
Email*
[e-mail]
Owner Info
Firm owner's name*
Charles Driggers
Mailing address same as street address of office?*
• Yes No
Phone* Fax
3364346202
Operator Info
Firm operator's name* Firm operator's title
Charles Driggers
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
3364346202
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 532,000
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: *
Guilford, Randolph, Davidson, Forsyth
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
0&
Date*
12/5/2022
Title*
Owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage YA122885 1FVACXDC77HX82807 2,500
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*
City of High Point Eastside WWTP
Septage Land Application Sites (SLAS)*
Expiration Date* Authorization
12/31/2023 Scan Dec 1, 160.23...
2022 at 10.17
AM.pdf
Yes • No
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 #* Expiration Date* Authorization
SDTF-76-06 4/4/2023 septage 1.37MB
permit
papers.pdf
Other disposal method*
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
3/17/2022 6
Location*
Clemmons
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
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
12/1/2022
10:05:11 AM
Print Name* Title*
Charles Driggers Owner

AUTHORIZATION TO D15CHARGE SFPTAGE TQ A WASTEWATER TREAT[
North Carolina Department of Environmental Quality
Division of Waste ManaZen1ent - Solid W,aSte section
1646 Mail Service Center, Raleigh, NC 27699.1545
Fee assessments and waste determinations will be required atthe discretion of the wasi
treatment facility. The facility has the ultimate prerogative to deny discharges of any w2
incoming wastewater stream.
I. John Thomas Certificaiiort # 1000478 Cit ni Hi h Point Eastside VVVVTP
(Plant Operator in Responsible Charge (ORC), ORC License N11mber, Nance of Plar
5898 F�;verdale C�rive Jamestown NC 272i32
(Address)
336-822-4730 do hereby authorize
(Phone Number)
Charles 1), Lariopers
(Owner/Operator of septage Management Firm)
of DN ors Septic Tank Service NC5 #€ 01253
(5ept4e Management Firm Name and NCS number)
to dispose of: dornestic septage � es portable toilet waste Yes
grease septage (grease trap pumpings) ___No commercial/industrial septage No , from
Guilford, Ran�oE h,avidsn, Fofs #h
(County or other Geographlc Area)
at the above named wastewater treatment facility. 5eptage shall be discharged at:
Eastside vvwTp Se to e Receivjnq Station
(LoCation)
between the hours of 7:00 AM - 5:00 PM Monday - Sunday
Reintroducing partially treated liquid irrto a grease trap is acceptable -Yes X No
This authorization shall be valid until December 31. 2023
(Usually December 31, Year)
Signed �` :�- Date lD x5- 7-2
Facility Operator)
Sub rii]ed and affirmed before me this day of 20
1
y� 1 My Commission expires: � �j � ��7
(N ary blic)
(0FF(ALSEAL)
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Note. Falsliflcation of this document by the septage rnanagernent firm shall lead to perra PllkUucaton � Z
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