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HomeMy WebLinkAboutNCS01331_2023Permit_Initial2023 Permit and Registration Liquid Environmental Solutions is hereby issued a Septage Management Firm Permit, ZNti STATE Permit Number NCS-01331 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. Septage Detention or Treatment Facility, SDTF-60-09, SDTF-34-06, SDTF-26-05 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 by Y Wm Perry Sugg Sugg Date: 2023.02.27 12:15:32-05'00' 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* Liquid Environmental Solutions The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-01331 Enter the five digits following the NCS # Street address of office* Street Address 4826 Worth Place Address Line 2 City State / Province / Region Charlotte NC Postal / Zip Code Country 28216 United States County* Mecklenburg Mailing address same as street address of office?* • Yes No Phone* Fax 9102243119 Email* manuel.perez@liquidennviro.com Owner Info Firm owner's name* Liquid Environmental Solutions LLC Mailing address same as street address of office?* • Yes No Phone* Fax 9102243119 Operator Info Firm operator's name* Manny Perez Mailing address same as street address of office?* 0 Yes No Firm operator's title Branch Operations Manager -Carolinas Phone* Fax 9102243119 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 0 Portable Toilet Waste 0 Grease (Restaurant) 5,000,000 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: * All 100 counties in North Carolina 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 6- W"IK31 Date* 12/5/2022 Title* Branch Operations Manager - Carolinas Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Grease (restaurant) R153218 4V4M19DG8GN949534 4,800 Grease (restaurant) KO61395 2NP3LJ9X5GM343399 3,000 Grease (restaurant) K134640 1HTKHPVM5KH863227 1,500 Grease (restaurant) R39O127 4V4WC9DH4KN199O67 4,000 Grease (restaurant) R1532O9 4V4M19DG7GN949525 4,800 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Approved wastewater treatment plant* Yes • No Septage Land Application Sites (SLAS)* Yes • No 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 for each site. SDTF #* Expiration Date* Authorization SDTF-60-09 9/30/2026 SDTF-34-06 6/27/2022 SDTF-26-05 12/31/2023 Other disposal method* Yes • No Septage Management Firm Operator Training Completed Date* Hours* 12/3/2022 4 Location* Raleigh NC Training Sponsored or Provided by* NC Pumper Group & NC Portable Toilet Group 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 11:37:26 AM Print Name* Manny Perez Title* Branch Operations Manager -Carolinas