NCS01307_2023Permit_Initial

2023
Permit and Registration
Quality Septic LLC
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01307
o and registered as a
e:,e D
NORTH
EQ�J
%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:
1. City of Lumberton WWTP, Lumberton, NC
2. Cross Creek WRF/Rockfish Creek WRF, Fayetteville, NC
3. Septage Detention or Treatment Facility, SDTF-78-21
4. Septage Land Application Site, SLAS-78-21
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
Sugg
S u g g Date: 2023.02.27
12:09:36-05'00'
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*
Quality Septic LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
01307
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
2337
Address Line 2
smith mill rd
city
State / Province / Region
Lumberton NC
NC
Postal / Zip Code
Country
28358
USA
County*
Robeson
Mailing address same as street address of office?*
• Yes No
Phone* Fax
19107400688
Email*
[e-mail]
Owner Info}
Firm owner's name*
Jimmie M Carter
Mailing address same as street address of office?*
• Yes No
Phone* Fax
19107400688
Operator Info}
Firm operator's name* Firm operator's title
Jimmie M Carter Owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
19107400688
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 100,000
Portable Toilet Waste 0
Grease (Restaurant) 10,000
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Robeson Cumberland Bladen Scottland Hoke Columbus
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
Date*
12/26/2022
Title*
owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage ya162966 lnkdl40x9cj333212 4,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
0 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
Cross Creek wwtp 12/23/2023 PUMPER 1.46MB
RENEWAL
2023.pdf
Lumberton wwtp 12/31/2023 PUMPER 1.46MB
RENEWAL
2023.pdf
Septage Land Application Sites (SLAS)
• Yes No
If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site.
Permit Verification
✓ I certify that I AM the permit holder for this SLAS.
If unchecked, please attach a signed land application authorization form for each site.
SLAS #* Expiration Date*
SLAS-78-21 12/31/2024
Septage Detention or Treatment Facility (SDTF) *
• Yes No
Permit Verification
✓ I certify that I AM the permit holder for this SDTF.
If unchecked, please attach a signed detention/treatment authorization form for each site.
If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for
each site.
SDTF #*
SDTF-78
Other disposal method*
• Yes No
Description *
Spray irrigation
Expiration Date*
12/31/2022
Authorization *
PUMPER 1.46MB
RENEWAL
2023.pdf

Septage Management Firm Operator Training Completed
Date* Hours*
12/3/2022 4
Location*
Raleigh
Training Sponsored or Provided by*
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
Date Hours
12/3/2022 3
Location
Raleigh
Training Sponsored or Provided by
NC Pumper Group & NC Portable Toilet Group
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
12/26/2022
10:23:26 AM
Print Name* Title*
Jimmie M Carter Owner

AUTHORIZAA,ON TO DISCHARGE SEPTAGE TO A WASTEWATER TiiEATMEINT-fACiUTY
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 requiretaat the the i discretioncr ng wastewater er st eam r treatment facility. The facility has
the ultimate prerogative to deny discharges of any wastes
yenF Hars;er: ORC # 100814_7 ___ Cit of Lumberton Waste Treatment Plant
— — —
(Plant operator in Responsible Charge (ORC), ORC License Number, Dame of Plant
Tammy Smith 910-671-3858
_ 700 Lafa ette Street Lumberton NC 28358 (Contact / Phone Number)
(Address)
do hereby authorize _ JimmA M. Carter 910 816-4805 mobile [phone] —
(Owner/Operator of Septage Management Firm)
of ualit Se tic LLC 2337 Smith Mill Road Lumberton, NC 28358
NCS #
(Septage Management Firm Name and NCS number)
YeS portable toilet waste Yes
to dispose of: domestic septage �—
rease trap pumpings) NO commercial/industrial septage
Yes from
grease septage (g
_ Robeson and Surroundi Counties —
(County or other Geographic Area)
at the aboVe named .wastewater treatment facility. Septage shall be discharged at:
The Influent Basin at 700 La fa ette Street Lumberton NC 28358
(Location)
kends or Holida s
between the hours of _ 7 am to 4 m Mondawee
Reintroducing partially treated liquid into a grease trap is acceptable
Yes X No
December 315t 2023
This autborization shall be valid until (usually December 31, Year)
Signed — —
(Facility Operator)
Subscribed and affirmed before me this -�
4:
(Not blic)
_ day of i 4'1 20
My Commission expires:
(OFFICIAL SEAL) TAMMY L SMITH
NOTARY PUBLIC
BLADEN COUNTY, NC
My Commission Expires 10-19-2025
- ..» .. -- -.c.L.:_ .4--..nnnt by the sentaee management firm shall lead to permit revocation.

AUTHORt4AT-MCHARGESEPTAGE _TOAVASTEWAT ER
TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, N.C. 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.
Plant Operator inResporisible Charge (ORC); ORC License number, Name bf°Plant)
P.FX.Box_10.89 Fa ettwille. NC 28302.1089 _
P . (Address)
910 223-4700 do hereby authorize Jimmie Michael Carter
(Phone Number) (Owner/Operator of Septage Management Firm)
of Quality Septic, LLC NCS# 01307
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X portable toilet waste _ _ _ X
grease Septage (grease trap pumpings) commercial/industrial septage , from
Cumberland & surrounding_ counties
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Facie Influent Pump Station
(Location)
between the hours of Sunrise to Sunset
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until December 31.2023
Signed Date r tt
(Facility Oper r)
Subscribed and affirmed before me this / —1-A day of 20 -�
:Gomtrtiasioa>eVires:
(Notary Public)
LJT� 4.'a�i
- 11pTARY
Note: Falsification of this document by the Septage management firm shall lead to permit revocation. : f : : Z
S:lSoiid_Waste/CLA/SEPTAGEIFORMS/2023 Firm ApplicationM WrP Authorization Form 2023 = B�'�G