NCS01292_2023Permit_Initial

2023
Permit and Registration
Loose Ends Repair and Septic Tank Services
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I�PI7i112 �Tl'Ib a
E� Q'AMH u
NORTH CAROLINA
Environmental Quality
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01292
and registered as a
Septage Management Firm
(PUMPER)
in the State of North Carolina.
PlORTH CAROLiNA �EQ
wll�pl
Department of Environmental Quality
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 Hickory WWTP, Hickory, 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 Digitallysignedby
Wm Perry Sugg
Sugg Date: 2023.02.27
11:33:11-05'00'
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*
Loose Ends Repair & Septic Tank Services
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01292
Enter the five digits following the NCS #
Street address of office*
Street Address
6499 George Hildebran School Road
Address Line 2
City
State / Province / Region
Hickory
North Carolina
Postal / Zip Code
Country
28602
USA
County*
Burke
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
8282174138
Email*
[e-mail]
Owner Info
Firm owner's name*
Brandon Martin
Mailing address same as street address of office?*
• Yes No
Phone* Fax
8282174138
Operator Info
Firm operator's name* Firm operator's title
Brandon Martin Owner/Operator
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
8282174138
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic
1 , 000,000
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: *
Caldwell, Catawba, Lincoln, Burke
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
fftexe" W"I*:e
Date*
12/11/2022
Title*
owner/operator
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper
Vehicles
Usage*
License Tag #*
Vehicle Identification #*
Tank Capacity*
Domestic
Septage
YA165101
2NK-HHM7X-7-NM481993
2,500
Domestic
Septage
YA155966
2NPNHD7X73M809388
2,500
Domestic
Septage
YA116351
1HTSDAAN4YH247227
2,500
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
Old Brookford Plant 12/31/2023 Hickory 1021.5...
2022.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*
9/20/2022 4
Location*
STONEY POINT
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
04"'em- at
Date
12/11/2022
02:40:29 PM
Print Name*
Brandon Martin
Title*
Owner/Operator

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
Division of Waste Management - Solid Waste Section
1646 Maid Service tenter, Raleigh, NC 27699-1646
Fey 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.
I I Shawn Pennell, City of Hicko
(Plant operator and Name of plant)
4014 River Rd, Hickory, NC 28602 mmmhmmm�
(Address)
828-323-7427
(Phone Number)
do hereby authorize Brandon Martin
(Owner/Operator of Septage Management Firm
of Loose Ends Rep air and Se tic Tank Service NCS # 01292
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X ,portable toilet waste --------
grease septage (grease tray pumpings)
commercial/industrial septage from
Caldwell. Catawba Lincoln, and Berke
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Old Brookford Plant
(Locaficn)
between the hours of
7,00am and 7:00Dm
Reintroducing partially treated liquid into a grease trap is acceptable
Yes X No
This authorization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed
Date(Facility Operator)
Sworn to and subscribed before me this of 20
(1 01
My Commission expiresd
(Notary Pubk)
do
41b ARp 00
Note: Falsification of this document by the
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