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HomeMy WebLinkAboutNCS01277_2023Permit_Initial2023 Permit and Registration Royal Flush LTD is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-01277 oand registered as a NORTH 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: Hampton Roads WWTP (HRSD), Virginia Beach, VA 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 151949-05'003 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* Royal Flush LTD The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01277 Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX) Street address of office* Street Address 2821 CRUSADER CIR Address Line 2 City State / Province / Region Virginia Beach Virginia Postal / Zip Code Country 23453 United States County* Out -of -State Mailing address same as street address of office?* Yes • No Mailing Address* Street Address PO Box 7123 Address Line 2 City State / Province / Region Virginia Beach Va. Postal / Zip Code Country 23457-0123 United States Phone* Fax 7573773603 Email* royalflush3603@aol.com Owner Info Firm owner's name* Jason Gentry Mailing address same as street address of office?* Yes 0 No Mailing Address* Street Address PO Box 7123 Address Line 2 City Virginia Beach Postal / Zip Code 23457-0123 State / Province / Region Virginia Country United States Phone* Fax 7573773603 Operator Info Firm operator's name* Firm operator's title Jason Gentry Mailing address same as street address of office?* Yes • No Mailing address* Street Address PO Box 7123 Address Line 2 City State / Province / Region Virginia Beach Va Postal / Zip Code Country 23457 USA Phone* Fax 757-377-3603 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 0 Portable Toilet Waste 516,000 Grease (Restaurant) 0 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: * Moyock, Currituck, Camden, Elizabeth City Vehicle Info Do you plan to operate pumper vehicles?* 0 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* 12/22/2022 Title* Vice President Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Portable Toilet Waste 48177P RF-02 1,160 Portable Toilet Waste 45544P RF-03 600 Portable Toilet Waste 61851P RF-06 1,092 Portable Toilet Waste 71013P Rf-07 500 Portable Toilet Waste 74032P RF- 08 700 Portable Toilet Waste 75200P Rf -13 1,500 Portable Toilet Waste 76600 RF-15 600 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* HRSD 12/31/2023 HRSD NC.pdf 445.1KB Septage Land Application Sites (SLAS) Yes 0 No Septage Detention or Treatment Facility (SDTF) Yes • No Other disposal method* Yes • No Septage Management Firm Operator Training Completed Date* Hours* 9/7/2022 4 Location* Nags Head 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 12/14/2022 10:01:32 AM Print Name* Jason Gentry Title* Vice President K R e9 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, NC 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. 9 v14/ P, K a tT'L Ad, (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) t, D, �Vx Vr '.. *4. V a Y -n 9a (Address) 742- 14 - 70do hereby authorize Mo. Lksorr 64z-rry (Phone Number) (Owner/Operator of 5eptage Management Firm) of b a, Fla L- T-P NCS # (5eptage Management Firm Name and NCS number) to dispose of: domestic septage v'*O�, portable toilet waste grease septage (grease trap pumpings) N LA commercial industrial septage N from N C (County a other Geographic Area) at the above named wastewater treatment facility. 5eptage shall be discharged at: (Location) between the hours of Am 2 EA4 ct4 w e e, Reintroducing partially treated liquid into a grease trap is acceptable Yes W-IVo This authorization shall be valid until C-CA4b'Le (Usually December 31, Year) Signed Date / Z ;L&'aa (Fac' ' Operator) 5 scribed and a 'rmed fore me this i ` day of 20 CMy Commission expires: kuklf 3G5 { o ary j 3nMry Q 8pee� (OFFI00M�1°� ti+lY 0X;;Z AuGW 3f. 71R7 Note: Falsification of this document by the septage management firm shall lead to permit revocation. S:/Solid_Waste/CtA/5EPTAGf/F0RMS/2a18 Flrm AppIiLab on/WWTPAuthorization Form 2018