HomeMy WebLinkAboutNCS01353_2023Permit_Initial2023
Permit and Registration
McPherson Septic Tank Cleaning
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01353
oand registered as a e:,e D
NORTH
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-�� Septage Management Firm�� �� w� ��nffii�utr
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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. East Burlington WWTP, Burlington, NC
2. Septage Detention or Treatment Facility, SDTF-34-06, SDTF-60-09
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
0
Sugg 112:1957-05'00'7
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*
McPherson Septic Tank Claning
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01353
Enter the five digits following the NCS #
Street address of office*
Street Address
2537 NC 54
Address Line 2
City
State / Province / Region
Graham
NORTH CAROLINA
Postal / Zip Code
Country
27253
United States
County*
Alamance
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
3362690830
Email*
brianparis66@gmail.com
Owner Info
Firm owner's name*
Brian Paris
Mailing address same as street address of office?*
• Yes No
Phone* Fax
3362690830
Operator Info
Firm operator's name* Firm operator's title
Brian Paris
Mailing address same as street address of office?*
0 Yes No
Phone* Fax
3362690830
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 321,500
Portable Toilet Waste 0
Grease (Restaurant) 52,450
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in:
Alamance
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*
11/9/2022
Title*
Owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #*
Tank Capacity*
Domestic Septage YA134768 1NKDLUOXOYJ866332
3,000
Grease (restaurant) YA134768 1NKDLUOXOYJ866332
3,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
• Yes No
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*
East Burlington Wastewater Treatment
Plant
Septage Land Application Sites (SLAS)*
Expiration Date* Authorization
12/31/2023 Auth to 1003.8...
discharge
septage -
East Burl
110922.jpeg
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 #*
SDTF-34-05
SDTF-60-09
Other disposal method*
Yes • No
Expiration Date*
12/31/2023
12/31/2023
Authorization
Auth to
discharge
septage - Liq
Env Sol
110922.jpeg
Auth to
discharge
septage - Liq
Env Sol
110922.jpeg
761 .72...
761 .72...
Septage Management Firm Operator Training Completed ^
Date* Hours*
1/27/2022 12
Location*
Hickory
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 `�j
Select one*
Registered Portable Sanitation Firm
• Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments and Notes^
Comments or notes
Note to Pumper Vehicles Section:
We only have one vehicle. We use the same one for both domestic septage &
grease.
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
Pi4m, r a
Date
11/9/2022
04:42:40 PM
Print Name* Title*
Brian Paris Owner
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
Division of Waste Management - Solid Waste Section
401 Oberlin Rd., Ste.150, Raleigh, N.C. 27605
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.
1, Darrin Allred, Chief Operator of the East Burlington Wastewater Treatment Plant
(Plant operator and Name of Plant)
225 Stone Quarry Rd., Burlington, NC 27217
(Address)
f 335 ) 578-0515 do hereby authollze Brian Paris
(Phone Number) (OwnerlOperator of Septage Management Firm)
Of McPherson`s Septic Tank NCS # SO1353
(Septage Management Flrm Name and NOS number)
to dispose of: domestic septage X , portable toilet waste N/A
grease septage (grease trap pumpings) N/A commerciallindustdal septage N/A
from Alamance County Only at the above named wastewater treatment facility.
(County a other Geographic Area)
Septage shall be discharged at: The influent Septage dump pit of the East Burlington Wastewater Treatment Plant.
(Location)
between the hours of_8:00 -11:30 am / 12:00 - 5:00 om Monday - Saturday..
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This utholization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed Date - �-
acillty Operator)
Sworn to and subscribed before me this day of 9_a,4e0le, 20
My Commission expires: 7
(Notary Public)
NOTARY
Note: Falsification of this document by the septage management firm shall lead to permit revocation. n PUgt-IO+
ip
H:CLAIF0FtMS12Q09 firm ApplicativnlVWVfPAuthorixationForm201i)
AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR
STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF
(This form is used by a detention or treatment facility permit holder to indicate that permission has been given to a permitted
Septage Management Firm to discharge septage into the permit holders detention or treatment facility.)
I, Liquid Environmental Solutions
(Facility Operator)
Offices at 4826 Worth Place, Charlotte, NC 28216 and at 750 Palmer Lane, Winston-Salem, NG 27107
(Operator Address)
do hereby authorize: �r i an Paris
(Owner of septage Management Firm)
htmr) s �iiCT61* 1MV11 NCS # dr35 3
(Name of septage Management Firm)
253-7 NC 14WV 54. 41EA4Am, N(- 2-1z53
(Address of septage Management Firm)
to utilize septage detention or treatment facility # STDF 34-05 & STDF 60-09 for the treatment or
storage of septage *
in 2022-2023 . The facility will be operated in accordance with the Septage Management Rules **
Date: 11-03-2022 Signed
(Facilit ator)
Joe Mayberry, Processing Facilities Manager
* As defined in G.S. 130A•290(a)(32)
** As defined in 15A NCAC 13B .0800
Return the properly completed form to:
North Carolina Department of Environment and Natural Resources
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646