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