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HomeMy WebLinkAboutNCS01294_2023Permit_Initial2023 Permit and Registration Vann Boys' Septic Service is hereby issued a Septage Management Firm Permit, STATE,, _ Permit Number NCS-01294 oand registered as a NORTH A%L 12 t -�� Septage Management Firm�� �� w� ��ntai�utr 4sr 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. Septage Land Application Site, SLAS-76-05 2. Septage Detention or Treatment Facility, SDTF-76-05 3. City of Asheboro WWTP, Randleman, 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 Perryby Wm Perry Sugg Date: 2023.02.27 Sugg 11:34:06-05'00' Perry Sugg, Environmental Compliance Branch Head New Submission https://edocs-deq.nc.gov/Forms/wm—septag, State of North Carolina Application for Permit to Operate a Environmental Quality Waste Management S e pta g e Management Firm For questions regarding this form or the online application process, please contact Jeffrey Bullard (http://mailto: Jeffrey.Bullard@ ncdenr.gov)(919-707-8285) or Chester Cobb (http://mail to:chester.cobb@ncdenr.gov)(919-707-8283). Firm Info Firm name Vann Boys Septic Service The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01294 Enter the five digits following the NCS # Street address of office Street Address 7748 Lanes Mill Road Address Line 2 City Bennett Postal / Zip Code 27208 County Randolph Mailing address same as street address of office? . I Yes No Phone 336-629-8449 Email ;jkmc305@gmail.com PA CK NO. /bYb DATE S'So. 00 State / Province / Region NC Country US Fax 336-879-5308 of 6 11/21/2022, 4:15 PM v t %v Submission https:Hedocs.deq.nc.gov/Forms/wm_septagefirr Owner Info Firm owner's name Randy Cheek / Aaron Cheek Mailing address same as street address of office? Yes No Phone Fax 336-629-8449 336-879-5308 Operator Info Firm operator's name Firm operator's title Randy Cheek / Aaron Cheek owners Mailing address same as street address of office? '0 Yes No Phone Fax 336-629-8449 3367-879-5308 Type and amount of septage pumped in the last 12 months Amount in gallons Domestic 0 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: 11/21/2022, 4:15 2 of 6 e w Submission https:Hedocs.deq.nc.gov/Forms/wm_septagefin Randolph, Chatham, Davidson, Guilford 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 x Qitc� Cheek / A,9YO, COWk Date Date will be captured on form submission Title owners Choose how to add vehicle descriptions Add vehicles individually Upload List Pumper Vehicles Usage License Tag # Vehicle Identification # Tank Capacity !Domestic Septage YA-79064 1FV6HJBA1XHA21960 2,000 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Approved wastewater treatment plant Yes No 11/21/2022, 4:15 3 of 6 d,2ui Submission https://edocs.deq.nc.gov/Forms/wm_septagefim If yes, list the facilities below and upload or submit by mail a copy of Wastewater Treatment Authori7ation (httas J/fiPG nc anv/ncdea /DWM/SWiComposting ial5zuaro•.nLDz-uLand%252OApplicationNWVfP%2OAuthorization.pdf) 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 Expiration Date Authorization Wasterwater Treatment Facility Name Ex p City of Asheboro Wastewater Treatmel 12/31/2023 Upload -,- Add another WWTP Septage Land Application Sites (SLAS) •Q Yes No If you are not the permit holder for the septage land application site, you must have a signed land application authorization form (hftps://files.nc.gov/ncdeq/DVVMi6VVIUomposzuly,,oe-uzOand%252OLand%252OApplication/SLAS%2OAuthorization.pd for each site. SLAS # Expiration Date Authorization SLAS-76-05 8/6/2031 Upload + Add another SLX 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 :hftps://files.nc.gov/ncdeq/DWM/SW/Composting%2520and /o252ULanci/ozDzuiApplication/5u 1 F%20Authorization.pdf) for each site. SDTF # SDTF-76-05 + Add another SDTF Expiration Date 8/6/2031 Authorization Upload 11/21/2022, 4:15 4of6 �N Submission https:Hedocs.deq.nc.gov/Forms/wm_septagefmn Other disposal method C Yes No Septage Management Firm Operator Training Completed Date Hours 1/27/2022 6 Location Hickory Metro Convention Center Training Sponsored or Provided by NC Septic Tank Association Septage Land Application Site Operator Training Completed Date 1 /27/2022^� Location Hickory Metro Convention Center Training Sponsored or Provided by NC Septic Tank Association Registration Type Hours Select one Registered Portable Sanitation Firm Registered Septage Management Firm Registered Portable Sanitation and Septage Management Firm Comments and Notes Comments or notes 11/21/2022, 4:15 5 of 6 https://edocs.deq.nc.gov/Forms/wm_septagefmn c �\ Submission Certification 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 x t?&,,� CAeek /, &D-11 Neek Date 11/21/2022 02:12:30 PM Title Print Name Randy Cheek / Aaron Cheek owners -SuSave as Draft 11/21/2022, 4:1' 6 of 6 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 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. I, Michael R. Wiseman ORC WW4#987680 City of Asheboro Wastewater Treatment Plant (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 1032 Bonkeme er Drive Randleman. NC 27317 (Address) 336-672-0892 do hereby authorize Randy Cheek & Aaron Cheek (Phone Number) (Owner/Operator of Septage Management Firm) of Vann Boys Septic Service NCS# 001294 (Septage Management Firm Name and NCS number) to dispose of: domestic septage X , portable toilet waste grease septage (grease trap pumpings) X _ commercial/industrial septage from Randolph Count (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: 1032 Bonk eMeyer Drive Randleman NC 27317 (Location) between the hours of 7:00 a.m. to 5:ly Only 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 _ � &10 01 -- Date Ip�!/�Z7._ (Facility Operator) 1d'l Su scribed and affirmed before me this t day of 20_ My Commission expires: (N u lic) ��++Q,� SAhYJ� 4Fi p SEAL) _ ?+ F F C14 Q= �, � 'QtJ81•�G 2t ~i 2 A� Note: Falsification of this document by the septage management firm shall lead to pe{vocation���+` S:/Solid� _Waste/CLA/SEPTAGE/FORMS/2019 Firm Application/WWTP Authorization Form 2019 �I�,`, H' 00����+ aQ G CCD d 1 18, 21 ,a CL CD C+ o• MINQ ofa' d Icv z V) rn T z 0 ea# O CD CL n CD z CD CL NC SE PTAGE MANAGE1ViENT FIRM Recertification of Pumper Vehicle(s) Septage Firm Permit #: NCS-O 12a LA Number of Pumper Vehicles: 0 CERTIFICATION: " I certify, under penalty of law, that the pumper vehicle for safe iicl s list ryn the submitted permit application meet the requirementsand vehicle transportation of septage as required byl5A NCAC also 835 that a log is lettering as required by 15A NCAC 13B .0835 (b). 15A NCAC 13B .0836 maintained of each septage pumping event as required by (a). - I am aware that there are significant penalties for false certification including the possibility of fine and imprisonment. Date Signature (Signature of company official required) Title Print Na Rev. 2021-04-15 S:lSolid_ WastelclalseptagelformsTumper Vehicles Cetification.doc AUTHORIZATiO TO DISCHARGE SEPTAGE AT A SEPTAGE LAND APPLICATION SITE PERMITTED TO SOMEONE OTHERo HANe that pSEmission has been LF (This form is used by a land application site permit holder se to eon the permit holders er given to a permitted Septage Management Firm to land appI Y P g land application site.) M q qq, wjies Mill P 1 do hereby authorize: Vun B (Name of SE q` 'X0el CIAU�_' (Site operator) it 2tw),eff, (operator Address) of C)ej-Vtcz, Management Firm ) AX _­2WP8' a Management Firm) ►i1/a S (Septage Management Firm Address) #012_qq # �%�Q �J for the disposal of � gallons of Septage" in 20� to use septage disposal site Date: wk l i * As defined in GS.130-A 29%a)(32). .08W _ Septage Management Rules Signed (Si Operator) The site will be operated in accordance with 15A f 138 Return the properly completed form to: North Carolina Department of Environmental Quality Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646