HomeMy WebLinkAboutNCS01342_2023Permit_Initial2023
Permit and Registration
Rick's Septic Tank Service, LLC
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-01342
oand registered as a
NORTH
EQ
AftL i2. ��
-�� Septage Management Firm�� �� w� ��nffii�utr
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 Hickory WWTP, Hickory, NC
2. Clark Creek WWTP, Newton, 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 Perry Digitally signed by
Wm Perry Sugg
Date: 2023.02.27
Sugg 112:1859— 05 00?
Perry Sugg, Environmental Compliance Branch Head
Resume Submission
12/28122, 5:28 PM
State Ar) ., cation fc- Permit to Optz-i dte a
Se tape Mana-iement Firm
For questions regarding this form or the online application process, please contact Jeffrey Bullard (http://mailto:
Jeffrey. Bullard@ncdenr.gov)(91 9-707-8285) or Chester Cobb (http://mail to:chester.cobb@ncdenr.gov)(919-707-8283).
Firm Info
Firm name*
rick's septic tank service, llc
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)*
NCS-03142 Lol3`f2�
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
1162 JV Parker drive
Address Line 2
City
Hickory
Postal f Zip Code
28602
County*
Catawba
Mailing address same as street address of office?*
0 Yes No
Phone
828-261-5976
PAI
CK. NO. 1405
DATE I— q - 7-3,-
Pot). oc7
State / Province / Region
NC
Country
USA
Fax
https://edocs.deq.nc.gov/Forms/form/resume/2031287801 Page 1 of 6
Resume Submission
12/28/22, 5:28 PM
Email*
Rick.whisnant@yahoo.com
FOwner Info
Firm owner's name*
Denise Tuthill
Mailing address same as street address of office?*
0 Yes No
Phone*
828-261-5976
Operator Info
Fax
Firm operator's name* Firm operator's title
Denise Tuthill Owner
Mailing address same as street address of office?*
Yes No
Phone* Fax
828-261-5976 _
Type and amount of se to e pumped in the fast 12 months
� � � f3
Amount in gallons*
Domestic 5402000
Portable Toilet Waste 0
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
https:/Iedocs.deq.nc.gov/Forms/form/resume/203/287801 Page 2 of 6
Resume Submission
12/28/22, 5:28 PM
North Carolina counties of operation
List each county you plan to do business in:*
Catawba,Alexander,Lincoln,Caldwell,Iredell,Mecklenberg,
Vehicle Info
Do you plan to operate pumper vehicles?*
0 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 *
Date will be captured on form submission
Title *
Owner/ operator
Choose how to add vehicle descriptions*
0 Add vehicles individually Upload List
Pumper Vehicles
Usage License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage YA126053 1 HTMMAAN45H1377582 27500 x
Domestic Septage '(A I50) 3(f 4� (C[-� L5gX?Zb�.3 3f �� x
https://edocs.deq.nc.gGv/Forms/form/resume/203/287801 Page 3 of 6
Resume Submission
12128/22, 5:28 PM
YA150436 2NKHLJ9X9LM388013 3,600
+ Add more vehicles
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
(https:lffiles.nc.gov/ncdeq/DWM/SW/Composting%2520and%252OLand%252GApplicationtWWTP%2OAuthorization.pdo 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 *
clark creek waste water treatment 12/31/2023 =. Upload
Value is required.
city of hickory wwtp 12/31/2023I Upload
Value is required.
+ Add another VWVTP
Septage Land Application Sites (SLAS)
Yes 0 No
Septage Detention or Treatment Facility (SDTF)
0 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.
i`
x
https://edocs.deq.nc.gov/Forms/formiresume/203/287801 Page 4 of 6
Resume Submission 12128/22, 5:28 PM
If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment
authorization form
(https:Ufiles.nc.gov/ncdeq/DWM/SW/Composting%2520and%252OLand%252OApplication/SDTF%2GAuthorization.pdo for each
site.
SDTF # *
SDTF10217
SDTF-
+ Add another SDTF
Other disposal method's
Yes 0 No
Expiration Date*
12/31/2023
12/31/2023 Ej
Authorization *
Upload X
newton dum... 1 .19... X
............... .
Upload x
hickory du... 1014... X
Septage Management Firm Operator Training Completed
Date * Hours
1/11/202; 4
Location
Raleigh
Training Sponsored or Provided by
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
Date
W.-
Location
Training Sponsored or Provided by
Hours
0
https-.//edocs.deq.nc.gov/Forms/form/resume/203/287801 Page 5 of 6
Resume Submission
12128/22, 5:28 PM
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
I
Fcertification Statement
1 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.
1 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
Date
12/12/2022
04:40: 23 AM
Print Name* Title*
rick's septic tank service, llc owner/ operator
Submit Save as Draft
https://edocs.deq.nc.gov/Forms/form/resume/203/287801 Page 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, Shawn Pennell City of Hickory
(Plant Operator and Name of Plant)
4014 River Rd. Hickory, NC 28602
(Address)
828-323-7427 do hereby authorize Denise Kale Tuthill & Kyle Andrew Kale
(Phone Number) (Owner/Operator of Septage Management Firm)
of Rick's Septic Tank Service LLC NCS # 01342
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X , portable toilet waste -------- ,
grease septage (grease trap pumpings)-------- commercial/industrial septage--------- from
Catawba. Lincoln. Iredell. Alexander, Caldwell and Burke
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Old Brookford Plant
(Location)
between the hours of 7:00am and 7:00om
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 Date Or /3, ZL-
(Facility Operato )
Sworn to and subscribed before me this R�
(Notary Public)
day of 20
My Commission expires: qf
111111/
Note: Falsification of this 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, 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 , V",j Lti tv-/7'
-4102,17
1,
(Plant operator in Responsible Charge (ORC), CiRC License Number, Name of Plant)
0`7 Pl ckA-L p Iv�il r*n �1C
(Address)
do hereby authorizer'
(Phone Number) (Owner/Operator of Septage Management Firm)
of
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage portable toilet waste
grease se tage (grease trap pumping�commercial/industrial septage-----� from
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
0
1/1 —
I
Subscribed and affirmed before a this
(Notary Public)
{ day of �M b 1' 20
My Commission expires: S°z
RONALD L INGRAM (OFFICIAL SEAL)
NOTARY PUBLIC
Catawba County
North Carolina
My Commission Expires May S, 2027
hu tho seotace management firm shall lead to 'Permit revocation.