NCS01269_2023Permit_Initial

2023
Permit and Registration
Portable Toilets of Fayetteville
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01269
o and registered as a
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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. 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 Perry
Sugg
Digitally signed by
Wm Perry Sugg
Date: 2023.02.23
15:17:28-05'00'
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*
PORTABLE TOILETS OF FAYETTEVILLE INC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01269
Enter the five digits following the NCS #
Street address of office*
Street Address
1171 S Eastern Blvd
Address Line 2
City
State / Province / Region
Fayetteville
North Carolina
Postal / Zip Code
Country
28306
United States
County*
Cumberland
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
9102262000
Email*
[e-mail]
Owner Info
Firm owner's name*
Kenny Hardin/Jeff Rinaldi
Mailing address same as street address of office?*
• Yes No
Phone* Fax
9102262000
Operator Info
Firm operator's name* Firm operator's title
Jeff Rinaldi Owner/Operator
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
9102262000
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 0
Portable Toilet Waste 200,000
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Bladen, Cumberland, Harnett, Hoke, Johnson, Lee, Moore, Robeson, Sampson
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
Date*
12/7/2022
Title*
Owner/Operator
Choose how to add vehicle descriptions*
Add vehicles individually • Upload List
Upload vehicle list*
You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag #, Vehicle
Identification #, and Tank Capacity.
PTF Pumper Truck List.pdf 727.29KB
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
PWC Fayetteville 12/31/2023 PWC Discharge 1.19MB
Letter (2022-
2023).pdf
Septage Land Application Sites (SLAS)
Yes • No
Septage Detention or Treatment Facility (SDTF)
Yes • No
Other disposal method*
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
10/8/2022 4
Location*
Greensboro, NC
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 hJ
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
moo.
Date
12/7/2022
01:27:08 AM
Print Name*
Jeff D. Rinaldi
Title*
Owner/Operator

Portable Toilets Of Fayetteville
Pumper Vehicles
Trucks
- Kenworth
rj 2020 Kenworth T270
a VJN:2NKHHM6X2LM386031
a NC Plate: JS 1013
Waste 1100/Water 400
- Dodge (5500)
lJ 2020
o VIN:1FDAF56P46ED26427
NC Plate: KE 7172
o Waste 1100/Water 400
- Floyd (Medium Duty)
0 2007 CHEVRGLET C7500 C7C042
c VIN:1GBK7C1377F402124
n NC Plate: JY 9345
o Waste 1100/Water 400
- GMC (5500) Flatbed w/ Slide In
o 2007
o VIN:1GDG5C1G87F903965
NC Plate: HMT 3068
o Waste 400/ Water 200
- Dodge Ram 3500 (Flatbed) w/ Slide In
2016
a VIN:3C7WRTCLOGG251925
o NC Plate: JV 9510
a Waste 300/Water 150

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 of the wastewater treatment
facility. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming
wastewater stream.
!, Scott McCoy #24382 Cross Creek WRF I Rockfish Creek WRF
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
P.O. Sox 1089 Fayetteville, NC 28302-1089
(Address)
910 223-4700 do hereby authorize Lizabeth Rinaldi Jeff Rinaldi Kenny Hardin
(Phone Number) (Owner/Operator of Septage Management Firm)
of Portable Toilets of Fayetteville, Inc. NCS # 01269
(Septage Management Firm Name and NCS number)
to dispose of; domestic septage X portabie toilet waste X
grease septage (grease trap pumpings) commercial/industrial septage , from
Cumberland & surroundino counties
(County ar other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Facility Influent Pump Station
(Location)
between the hours of Sunrise to Sunset
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until —December 31, 2023
Signed Date ! 4 [It
(Facility Op ralor)
Subscribed and affirmed before me this -0) day of A�� 20
�— My Commission expires:
(Notary Public) %
Note: Falsification of this document by the septage management Firm shall lead to permit revocation,
S:ISolid_WastOCLA1SEPTA GEIFORMS12023 Firm Application/WWTP Authorization Form 2023
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