NCS01304_2023Permit_Initial

2023
Permit and Registration
Septic Blue NC L.L.C.
is hereby issued a Septage Management Firm Permit,
STATE
Permit Number NCS-01304
o and registered as aD E
1pL 12 ��
-�� Septage Management Firm awnen� f� wrnmenta�lty
NORTH CAROLlNA (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. Rocky River Regional WWTP, Concord, NC
2. McAlpine Creek WWTP, Charlotte, 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.
Digitally signed
Wm Perry by Wm Perry
1 Sugg
Sugg Date: 2023.02.27
12:08:37-05'00'
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*
Septic Blue NC L.L.C.
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01304
Enter the five digits following the NCS #
Street address of office*
Street Address
4916 Stough Road
Address Line 2
City
State / Province / Region
Concord
North Carolina
Postal / Zip Code
Country
28027
USA
County*
Cabarrus
Mailing address same as street address of office?*
Yes • No
Mailing Address*
Street Address
PO Box 2049
Address Line 2
City
State / Province / Region
Roswell
Georgia
Postal / Zip Code
Country
30077
USA
Phone* Fax
7703652566
Email*
[e-mail]
Owner Info
Firm owner's name*
Robert Minkert
Mailing address same as street address of office?*
• Yes No
Phone* Fax
7703181747

Operator Info ^�
Firm operator's name* Firm operator's title
William Dyer Manager
Mailing address same as street address of office?*
• Yes No
Phone* Fax
7703652566
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 675,000
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: *
Mecklenburg, Cabarrus, Union,Gaston,Linclon, Rowan
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
cilTf91r40
Date*
12/5/2022
Title*
Manager
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*

Domestic Septage YA121014 5PVNV8JM1H4S51153 2,500
Domestic Septage YA145856 5PVNV8JV1K4S58961 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
Rocky River Regional wastewater plant 12/31/2023 AF 2023 - 66.5KB
Septic Blue
of NC.pdf
Charlotte water wwtp 12/31/2023 charlotte 533.33...
water auth to
discharge
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*
10/14/2022 4
Location*
Franklin 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
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
12/5/2022
10:03:32 AM
Print Name* Title*
William Dyer Manager

CHARLOTTE
W47ER
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT
FACILITY
I Bill Gintert / Environmental Compliance Manager
Charlotte Water - System Protection (CLTWater - SP
4222 Westmont Drive Charlotte, NC 28217 704-336 4407
Do hereby authorize William Dv?
(Authorized Representative)
Of Septic Slue of NC .LLC
(Septage Management Firm Name)
To dispose of Septage JC Portable Toilet Waste X
Note: 1) Grease trap waste is not allowed at the disposal sites.
2) Re - introducing partially treated liquid into a grease trap is not allowed in the
Charlotte Water system.
From. Mecklenburg County and Surrounding Areas,
(County or other Geographic Area)
At the below named Wastewater Treatment Facility, Septage shall be discharged-,
McAlpine Creek Wastewater Treatment Plant MCWWTP Septage Receiving Station
Between the hours of 7 30 a m until 11 C10 a.m. and 12'aa ❑.m. anti! 3:45 �.rn. Mgn.-Fri.
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.
This authorization will be effective. January 1112023
This auiliorization shall be valid until: December 315I 2023
Signed. � �..
Date: 4- 2-7— 2l0 ?—Z
1Environmentai Compliance Manager)
mote: FalsirliCal;on of ;his document by the Septage management firm shall lead to permit revocation.

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, NC27699-1646
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, James Christian Sims, #999309, Rocky River Regional Wastewater Treatment Plant
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
6400 Breezy Lane, Concord, North Carolina 28025
(Address)
704-788-4164 x114 do hereby authorize Robert MinkerUBilly Dyer (770-365-2566)
(Phone Number) (Owner/Operator of Septage Management Firm)
of Septic Blue of North Carolina NCS # 01304
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage YES , portable toilet waste YES ,
grease septage (grease trap pumpings) NO commercial/industrial septage NO from
Cabarrus and surrounding counties.
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
6400 Breezy Lane, Concord, NC 28025
(Location)
between the hours of 7AM and 7PM Monday -Saturday; Sunday upon request.
Reintroducing partially treated liquid into a grease trap is acceptable Yes d No
This authorization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed Date October 18 2022
James Christian Sims, Facility ORC
Subscribed and affirmed beforE methis
(I
)—� &
Angela Hill Notary Public
18th
day of October 20 22
My Commission expires: May 15, 2025
Q.. O TA
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018