NCS01375_2023Permit_Initial

2023
Permit and Registration
Smale Septic
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01375
o and registered as a
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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. North Harnett Regional WWTP, Lillington, NC
2. Cross Creek WRF/Rockfish Creek WRF, Fayetteville, NC
3. Central Johnston County Regional WWTP, Smithfield, NC
4. Norman H. Larkins WWTP, Clinton, 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 Perr Digitally signed
Perryby Wm Perry Sugg
Sugg 112:25 18-050'00'7
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*
Smale Septic LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
01375
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
577E Dixon Road
Address Line 2
City State / Province / Region
Willow Spring NC
Postal / Zip Code Country
27592 United States
County*
Johnston
Mailing address same as street address of office?*
• Yes No
Phone* Fax
9199170683
Email*
[e-mail]
Owner Info
Firm owner's name*
Jeffrey Craig Smale
Mailing address same as street address of office?*
• Yes No
Phone* Fax
9199170683
Operator Info
Firm operator's name* Firm operator's title
Jeffrey Craig Smale Owner/Operator
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
9199170683
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 92,000
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: *
Johnston, Wake, Harnett, Sampson
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
F& "
Date*
12/30/2022
Title*
Owner/Operator
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage YA131845 1M1AA13Y2TW059352 3,400
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 *
Norman H. Larkins WWTP 12/31/2023 Smale Septic 114.13...
2023
Authorizatio...
Central Johnston County Regional 12/31/2023 Smale Septic 73.28KB
Wastewater Treatment Plant -2023 JOCO
ATD .pdf
CrossCreekWRF/ RockfishCreek WRF 12/31/2023 Crosscreek_R... 193.71...
Smale2023.pdf
ORC North Harnett Regional WWTP 12/31/2023 Harnett- 176.41...
Smale2023.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*
10/11/2022 6
Location*
403 Old Olive Road Smithfield, 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
12/30/2022
03:58:32 PM
Print Name* Title*
Jeffrey Craig Smale Owner/Operator

AUTHORIZATION TO DISCHARGE ARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
Norlh C arolina 1DepartmenI of Environmental QuaIIly
lDlvlslon of Wasle Man agemen I - SolId Waste Sectiolt
1646 Mail Service Center, Raleigh, N.C. 27699-1646
Fee assessments aDd waste delerrniriallon9 will be required at the discretion of the wastewater trealmoil I
facility, The fad lfty has tale uItlrnate prerogative to deny discharges of an wastes to the Incoming
wastewater stream,
Scott McCoy #24382 Cross Creek WRf Roe kfIsh Peek WRF
tPl aril. Opurolor of Reamn wW Charge {ORC), ORC Limn Nw mWt, Name of PIM)
P.D. Box 1089 Fayetteville, NC 28302.101139
(Addrel
(9 ) 223-47DO do hereby authorize _ Jeffrey Crab $male
IPh;„-n- No11iht� I j0mierlOparaler of &ewwe Managumani FlrrN
of Smale Septic. LLC NCS# 01375
tSiVage Mail N mor~I Firm Name and NCS rti=W)
to dispose af- damesft seplage . , porilable tollet waste
grease seplage (grease trap pumpings) _ comrnerciallindustrfal septage horn
_-Cimberland & surrounding ceuntles
(CUui1I0 or aiher OeographliC Arun)
al The above reamed wastewater treatment Facility. Septage shall be dischargers at-
Fpcillty Influent Puin Station
(Lccallerr)
betMi3n the trours of Sunrise to Sunset
Reintroducing partially treated liquid Into a grease trap is acceptable _Yes X No
ThIs authorization shall be valid until Decembar 31 2023
Signed Date I u I I1 122—
(J DUily Qparmrj
Subscribed and affirmed before me this4.
L. day of 2�
y Commmsion expires1
�Nolary Public) 1
pFF
* ��
itAOT
RY
N010' Fala1flcallon of 1hIs doCUmeni by the eaptago managoment flimt §halt lead to peanit NNIOCAIWI, + ■ _
SlSalyd_'NasteJCIkSEPTAGEJFORMS023FirmApoicalioP 'NFPAulhoritaWForm2023 S PUBLIC �* ''

AUTHORIZATION TO DISCHARGE SEPTACE TO A WASTEWATER TREATMENT FACILITY
forth Carolina Department of Environmental Quality
Divlsiopl of Waste h+lanagerneni • 5alld Waste Section
1646 Mail SeMce Center, Raleigh, NC 27699.1646
Fee assessments and waste determinatIons will be required at the discretion of the wastewater
treatment facility_ The fadlily has the ulfifnate prerogative to deny discharges of airy wastes to the
Incoming wastewater stream,
1, Billy J. Thomes {Grade I V WW # 995444�), ORC Borth HameIt Reg lonal WWTP
PDE _# NCQ021636
607 Edwards Brothers Drive Llllington NC 27546 910-83-Z424
NCS # -
to dispose of: domeslio seplage and#or portable tollel. waster, al the above named WWTP.
eptage shall be discharged at: Septage Reaelvfng Statlon at NHRWV4+TP
n Ilie hours of 7 AM-5 PM Nov -Mar and 7 AM-6 PM A
This authorization shall be valid lentil ] - 1-Z3
Signed -k Rafe 2 1 �z
t�
aclllly Operator)
bscribed and affirmed before me this day of ++ `•� `r" 20,22
My Commission expires; _ FEB 10 2024
(OFFICIAL SEAL)
OFFICIAL SEAL
Notary PA111c. North Cara',Ina
CaQn of Ha melt
Carolyn K. Murayama
Note: Falsification of this document by the septoge management firm shall lead to permit mwocation.
$ }5ol�d_N+attrl[LAJS��tA�i EIPOWS12016 Fl 104 APpl,cn1112IIAVWTP AuthaN:allon POFID 7017

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.
Blake Raynor, 1001100, Norman H. Larkins WWTP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
123 Mill Branch Road, Clinton, NC 28328
(Address)
[phone] do hereby authorize Jeffrey Smale
(Owner/Operator of Septage Management Firm)
(Phone Number)
of Smale Septic LLC
(Septage Management Firm Name and NCS number)
to dispose of: domestic Septage Z , portable toilet waste
01375
grease septage (grease trap pumpings) NOT ACCEPTED NOT ACCEPTED commercial/industrial septage from
Sampson and surrounding counties
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Norman H. Larkins WPCF, 123 Mill Branch Road, Clinton, NC
(Location)
between the hours of 7:00 AM to 3:30 PM (after hours upon approval)
Reintroducing partially treated liquid into a grease trap is acceptable
This authorization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed Date„ Z- 2-``ZOO-�2—
(Facil Operator)
beCemb�er 2
Subscribed and affirmed before me this 'lday of .20
W - 11-0
My Commission expires: '� • s �o. �
(Notary Public)
Yes No
p1OTAigy S.
(OFIW V SEAd48L4G ;r U
A °• ;2ber 8.
covN•��,,
Note: Falsification of this document by the septage management firm shall lead to permit
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018

0City of .Clinton
3/��
ClintonNormanPublic Works &Utilities Department
H. Larkins Water Pollution Control Facility
Public Works &
Utilities Department
WASTEWATER HAULER AUTHORIZATION
Based on the information provided to the City of Clinton WPCF via the City of Clinton Wastewater Hauler Questionnaire,
and when applicable, the completion and submission to the State of North Carolina of the AUTHORIZATION TO
DISCHARGE SEPTAGE TO A WASTEWATER FACILITY, the following Wastewater Hauler is authorized to dispose of hauled
wastewater to the Norman H. Larkins WPCF at a maximum loading and per the requirements as set forth in the City of
Clinton Norman H. Larkins Wastewater Treatment Plant Hauled Wastewater Acceptance Policy and the City of Clinton
Sewer Use Ordinance, Chapter 22, Water and Sewer, Article V. Sewers.
Hauler Information
Hauler Name: Jeff Smale, Smale Septic LLC
Hauler Address:
577 E. Dixon Road
Willow Spring, NC 27592
Hauler Telephone: [phone]
Alternate Telephone: None given
Name: (Print) Blake Ra +ono
Signature ( 3
Name: (Print) Lisa Osthues
Signature
V4,t_-
Expires: 12/31/23
City of Clinton
Wastewater Hauler Authorization
WHAT
Title: Wastewater Manager
Date'�-2---
Title: Environmental Pro rams Mana er
Date `

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.
I, John D. Wall Central Johnston County Regional Wastewater Treatment Plant
(Plant Operator and Name of Plant)
Post Office Box 2263, Smithfield, North Carolina 27577
(Address)
[phone] do hereby authorize NCS# FBI ri,
(Phone Number) (OwnerlOperatar of Septage Management Firm)
of _rYll
(Septage Management Firm Name and address)
Email Address:
to dispose of: domestic septage , portable toilet waste ,
Johnston County does not accept grease traps and pumpings.
Johnston Countv. North Carolina
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Johnston County Sludge Handling Facility, 680 County Home Road, Smithfield, North Carolina
(Location)
between the hours of 8:00 A.M. thru 4:45 P.M. -Monday through Friday.
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 �r —%g7 .— 7 Z
John D. Wall acility Operator)
Sworn to and subscribed before me this ��day of
"k, L) My Commission expires:
Nancy House y�(�3 (Notary Public)
*Waste generated in other counties will not be accepted. All waste must be
generated in Johnston County.
Note: Falsification of this document by the septage management firm
shall lead to permit revocation.
4-1-2023
(OFFICIAL SEAL)
NANCY HOUSE
I NOTARY PUBLIC
JOHNSTON COUNTY, N.C.
My Commission Explres 4-1.2023.