NCS01268_2023Permit_Initial

2023
Permit and Registration
Shorty's
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01268
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. Anson County Regional WWTP, Wadesboro, 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
Y Wm Perry Sugg
Sugg 1151659-05003
Perry Sugg, Environmental Compliance Branch Head

APPL.ICAT0N FOR PERMIT TO OPERATE A SEPTAGE MAN AGEM ENT FIRM
OWSION 09: W TE VAKASEM-ENt • SDM WASTE S�[.`7 M -1 W MAIL SERVICE CENTER, RALDGH, W, ZYM-1. W
�1.� Firm name. (The "F#m imme" mof Ge MIS S"M orp YW vedfefe sa
Sharty's
M
Strut address of 01ea_232 Couotyho me Ra
Rookinghiam NQ 2Y55
Ciy: ,'al .._ _ Zip:
Mailin address (if dgerent):
Ci;
kin. h.. N Zip: 28379
t�
Phone. [phone] fax;
E-r,nan:
shortyssept c g m' all. corn
Gcunly!Rlch mand ed Firm permit nurn�: =8 # 01268
Jamesi n� ii—,jo�e`r hen gle6a
Firm owns name:
Mailing �idQrm (if d*mnq:
cif: �q: ZIP,
one: Fax:
Ames Shingletan Owner PI-arrne-
jl, Firm operaws name= Fern �perat � tale:
� address �4 0er�r. :
Phork,; ray. -
(4k f Type(aj of seunge pumped: Wrke rn the numbar of gaffes ggktpad ill 201 � pte' DafMesk 50,000)
OomasllC
Pemr m T*t Writ grease t�urar.1'1
T, eament P1k_
IrrdL l mtr it
�5,) N.C. Caun5m aoperal;ien_
Richmond,Art ri,Sooil and, Boors, Moritgormery
ILm1 eechcmrejVw0hwbM4na
ToW #Number of Pumper VW6K Cpeawd
Numhert aed filer desk 5epl C4aase fr-Bstauraq;
Porab1a Toilet Waster
Vebk a Grlfarrrla5w- (use €,dditwal paper if rreeded)
t #
Whiole Menft7dw #
Tank Ca
1
Ai �8341
HTMMA AN SH 100690
0
1
3
}36
1 FDOWSH71 KED01212
P- 75
i FUU 3 724
0
HK48
1 FDUF4GT13CE=669
AEP LICAM N CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PERMIT TO OPERATE A S E PTAG E MANAGEMENT FIRM
(CONTINUED FROM PAGE fl
V.) Septet Die mgv�oj; Me& Ore)
a) Appro�*d wmtows tmatment O&T nV nm t yes. subFnlr yVa94m r Tmalmen., Arrlhoriza§m
foreach plant, as Indicated in parjrap 4) oFthe Sspiagff A"ement Rules,
b) Sa tags I-ard A; jplin.ion Ste (9L4S) Prrmlt Numbers. (use addftml shE49 if needed)
Ate; Expiration Date- SLASH Expirapon Date:
O� Seplage po%nWn c;f iTeutrnent N&ty (SDTFf Permit Numbers: (use a4e; igna� sheets if needed
,SDTF#; _ Expirouion Daw i SQTF# Expiation aa�e;
(.) S"ge t,Aanagerr*nt Firm Dpermr Training Completed' 6
Clete. 7 nr ;art LaCatM: HICKORY -NG �iou�s
T rdmirg 8porrsored or Pmyidied by; NoBTA
(9,) 5"ff Land ApplicatiGn Sipe QatarTrairtira Comoleted
Date: Lxrl:
Training Sponsored or Prmided byr.
(10,1 Pogwof m requested, CHEGS ON
red Portabm Ssnit FM
Phglosred SCOW Mmagemenl Flrn,.
Mered Portgt?i9 marl w d Sffoge Mamgemetl Firn r
Ger+-4ca6wl S#et�ement
Haum-.
I certify that the informatlon and repmantald4ns in thla appl i0jM OA For a Iarmlt are true. 00IMPlete. and arcuate to
the best of mar knawfudge and tidef. I am aware that a permlt mayr be 5Lmpefl lad w revoked upon a finding drat h
Iss,uanoe was beset upon Incor(act -or Lnadequate InfarmaCton Mitt mate6altyt affed tie deoislon to issue the
p*rmlt and that tt-we are crlmtnal penelUea for knowinghj making a fake stwmmaM reprfinentkon, or urftR ,
f' JAMS SHINGLE
Prim Ham,
other Comments.
I W I i"
Date
O NEWPARTNEP
T14e-
s&rtwa '..0oeP' AUfl)RMsr 'jfl FM et �vc+Qn� ifi
PAGE 2

Q
t
wo
I�
Q
y
z
0
u
0
vi
un
z
CL
LL
Ul
H
I
Vi
c
v
7
CL
L7
�
}iIJ
Lid
o
• •
Y�
xUIJLy,.
0
...
6d
ijr64
t—
pmq
c
r
F_
F
^
z
IJ

AUTH 0 RIZATION TO 1)ISCHARG E SEPTAGE TO A WASTEWATER TREATMENT FACT rY
North Carollna Depa rtni ailt of Environr:nentai QuaGtyr
afalsiarn of Waste Manag&nent - 5Pf ld Wme Sed# on
1646 MaJI Se+yiee Cancer, Raielgh, NC 271599-1646
FEe a ssessrnenis arld W'3 stt deterrnJnatioris WIIJ k r&q uired gF ti,e cHwietfor) Qf tfrye wastewaoer Lreatlx2 nt
fail its_ th a faeiJr# r ha s the ul#ima to pre
�tivam, mgati r� tQ dery discharges cPf anw wastes to the Irmming wa Lewate
�� ..,,� s� +��, f r3i■a A VM t Y REG I0IVAJ_ WASTIE ATE R TR EATMEN'
iJ'lasf Uperakor fn Rr FP0r lble Charge JRey ORC Liceose N wnher, Name of phq lq
OFFI-Q -aQX -5 VwADES fl r C 27-0
Uri res5l
7d-P [Wert, by Kdhorlpa �+ �.1EIW�IIFER 3FII GLETON
(phone Numb-L-rj Pw-er/00ratx of 5e —
tr� M a �ti,U3em�nk Firm
r�F _ F fCTY'S SEP71� TAN FC SERVICE & PQRTABLE TM.M NC5 #I NMI 68
�Whilpe M-7nagern"t Firm Name and hL5 nUf1 bev)
tf� dis:Po!�e of: iDrrpRgt ' s eptaga _Aq . purrable tol let Waste f�l
gr(!an setrta a J$r a5t trap pCgrlpi nss) G rnrwe rcial/lnd ustrlal 5.eptagf. .from
l%l
rCOu',t�, nr other Geographic AI'8i*)
at tflP ,Dbove named waxtewa t EF treat m e nt F wiritp. 5Pptage shair The diSdIarged at:
TH E MAIN LrFT — wWT� *� TE � 1 'r'�Ea�U f AJ? A�E.S R� NE
ttor�tlb�-I� -
b�treer, the Fours a# 7:3 ilm KLWturd
_p.
Rj'"CkKTng PaMHNV trewNd liquid into a grease wap is accc.prtat}I.B _Les
This a uthorizati" sF ail he w$IJd urrtJl _ -DECEM BF 31 23
Msuallyr Dc-lerrajer 3 1. Yt*arl
Opera1 or�
Gate -- —,L.
�{adlityr
Suhscrfbed arld gf nned befor-P me this 5'h c f
Mir Coal r�lssion expir?s: flaw 1Z. 024
"0: xaleRrca"On of the d0aiftnt hyr th4 sop R � � L� L i L
5 fkl'dW'3'to TLgSd�a �►�na CFMI ftrrrr �Dr(, lea@ to e" rew0#.atlort- f;
— G-��F�1+ly+t}i�4=G Flrf.,apprka[iani4�l5�'-rP,�urh0+icaoq Furm gyp; fi

SHORTY'S
2022
Gallons
Discharged
lanuuv
19,200
Februa;r{
36,000
Mareh
54, 200
AiDr"sl
46,(*0
May
31,600
J u n-PJrli�
July
35,10b
August
sapm
5e p#embef r
2 LOW
Total Gallons
Bi Iled
342,I00

0
North Carc43 na Depa rtmenr of Frvirorrm ntal Qtxal ity
diwisiun of Wwt-e Management INVOICE
==""F+ 50d Waste Section
C)hri5i0r, of WASte Managerrlerlt
SdI d Waste Sectlor,
1646 Mall Servk m Cent-er
Raleigh, NC 27f69+1W
Phone/Far. 01% 707-8298
Email: ja€[e-mail]
5eptage - Arirnial-
5horb/s PCW1268)
PO BDx rtfi41
Roc kirig harr4 NC 28361)
To- Je+'IroNr & JameS 5nlrtig4001s
shvr y's
Ro*iNharet NC 2.8380
Daie Due;
Date: 09/27R022
Invoice *: NCS-M68-2ad
SW -CD
LK% FF p� i u,•+ - *•—114i�� w _ -_ —_ .. i y .. • 7 - r fy • -- n ,ITT I'- 1 r r
1" ' 11Aop"Is,
E-1e[k Avalabte 4rfirwat-kill _... - ,•.:
RKLwes tank xoourrz ard rWbg ir5x�u- You wil heed q5 uit the z�3 Face In the CiEccfiptlon bcx Bird the -r&dm rlumbEw-
shorn an this Irnv+4T to awes#" err. 1r $ tip how is nos rgbbJI t&e [ve wade: 9M9.9WV Wth �he+-rrdon rtambrr.
C-edlt Carzi Ayalyde oMne at 1.7_ ••'r• r. • • -.• : • .. - _•.
ALmpt F ajbK,( rd, wlsa; and D xowr Cards. You A rmw6 h0 We ft AP Kde i'I the dKUo Xiarl boa wd 1he Imuke ru rkw sr -off
on this nkou va access ywr acxunt- ff a zip rode rs not IisfiDC� use the oWl: 9 9M aW# j W.1he irw o eR~.
r,Cu wtr *w* F@4 Vl ? 65%owed U AfACLMt kr)aLed_]
Pwar drg Lu M e &eC4s payable m N.C. aafsion of Waste ManwPment Sdrd Wpm kcwrt kWLKkL Permit Nurnb!v and ;rn oe rxir lmf *i
check *you are tong by ele"Ic Vanft. inchade && lrreoke I,wr m Kldti your ele&api= omsfer. jime record a rope of Ew
Irwin w#31t yaw pawmm
[G-S, 25-3+5 = A M.W proaessiN ke A be &Larged On DO EO4C T d i hecbj
Fxjcfanat"i -of li-w0Cg.,4rr0ur7l 04.ea or, l'Ian's L4.1rrerlt Perr€kt Ws-
Nrs:IaM to North Carolina General Statite 130A-.291.1 yx are requi Td to pay NOS) bawd -on y Que said waste managermnt
actrw ies. The fee(s) shag be used to support the wp*,age rni;rkvflrnent proo€arn-
For wjestipn5 muwdiroa:
aillir+g
pWiOnS or Tory! As twee
adrted Willorti 119) 70-82
'.Chester Cobb (919) M7-132Eki
Jeffri y Bullard M9) 707-E295
More Intrrnation available on t if—t wa ,
NXM CMIFA Dip nrew -rt of 17 4mrumtsl CILdity IDECD -
No1'r!1 Gffd 1a Solid Wow R,�ograrn - -11,,._..j1�, ___:- ;[g-Ir1 1 3 j sLf:: ,C -.
t,= Carolria SEW go ManaWM" Pr09Wn - 117 •_7,Yi� v�itlril� arrr_V!BV'-.-IEarrjg!nU,7_ _ ,ails: _ .d e-
1 } •I • , -

1\ SEPTAGEMANAGEMENT FIRM
Recertification of Pumper Vehicle(s)
Say ptage Firm Permit #' NC - D i �
Number of PumperVehicles: Is
CERTIFICATION:
"I eer9y, under penaJty of law, that the pumper vehicle or vehicles listed in the
submitted permit Bppl ica#ion meet the raq u i remenks far safe and sanitary
transportation of septage as required byl 5A NCAC 13B . Q844 (a) and vaKiule
lettering as required bV 1 SA NCAC 13B .0844 (b), M also certify that a log as
mairrtaine d of each septage pumping event as requi red by 15A NCAC 13 B .0539
(a�. I am aware that there are gig n ificarrt pe rlaitleer for False oertification including
the possfbildy of fine and imprison men i -"
atvre �S*WPri a rQ p#rr:D07c WFlan
Name
Z�'�� �
DMA
fir mitt"
Title ---
S.ti3oIIdY wahitlas C"Bc3tian.dac