NCS01390_2023Permit_Initial

2023
Permit and Registration
EcoClean Septic Services
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01390
and registered as a
i2. �� Septage Management FirmCAROL] � �nffi��NOR Ity
LULAH
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, Tide 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. Catawba Water Pollution Control Facility, Morganton, NC
2. City of Hickory WWTP, Hickory, 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.
Digitally signed
wm PerryJ bywm Perry
Sugg
Sugg Date: 2023.02.27
12:30:03-05'00'
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*
EcoClean Septic Services
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01390
Enter the five digits following the NCS #
Street address of office*
Street Address
1936 Jamestown Rd
Address Line 2
City State / Province / Region
Morganton NC
Postal / Zip Code Country
28655 USA
County*
Burke
Mailing address same as street address of office?*
• Yes No
Phone* Fax
8283341537
Email*
[e-mail]
Owner Info
Firm owner's name*
William Garrison
Mailing address same as street address of office?*
• Yes No
Phone* Fax
8283341537
Operator Info
Firm operator's name* Firm operator's title
William Garrison Installer Inspector Pumper
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
8284432537
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 100,000
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:
Burke Catawba
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
cl?q??�
Date*
12/12/2022
Title*
Owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage YA137103 1HSROEMR4PH5O6872 2,300
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
Catawba Water Pollution 12/31/2023 27FEACEB- 1.93MB
B474-4430-
984D-
5736C36B29D5...
City of Hickory, Old Brookford Plant 12/31/2023 BBED1720- 1.94MB
C9AA-43A7-
9ABB-
54D5FEB314D8...
Vehicle Recertification 12/31/2023 Vehicle 169.9KB
Recertificat...
Training Certificate
Septage Land Application Sites (SLAS)
Yes • No
Septage Detention or Treatment Facility (SDTF)
Yes • No
Other disposal method*
Yes • No
12/31/2023 image.jpg 1.73MB
Septage Management Firm Operator Training Completed ^.
Date* Hours*
1/27/2022 6
Location*
Hickory Convention Center
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
I uploaded the training certificate and the truck recertification and the
WWTP area. Thank you!
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
12/6/2022
03:37:35 AM
Print Name* Title*
William Garrison Owner

+
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L
i
AIL
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department of Env'ironment 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 fac'Ility has the ultimate prerogative to deny discharges of any wastes to the incoming
wastewater stream.
Shawn Pennell, C'Ity of Hickory
(Plant Operator and Name of Plant)
4014 River Rd, Hickory, NC 28602
828-323-7427 do he. eby authorize
(Phone Number)
of EcoClean Septic Services
(Address)
William Garrison
(Owner/Operator of Septage Management Firm)
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage x , portable toilet waste x ,
NCS # 01390
grease sePtage (grease trap pumpings)-------- commeric*al/industrial septage-------- ,from
Catawba
(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:OOam and 7:OOnm
Reintroducing partially treated liquid into a grease trap is acceptable
Yes
This authorization shall be valid until December 31, 2023
PE
(Usually December 31, Year)
Signed
(Facility Operator)
Swom to and subscribed before me this
(Notary Public)
X No
Date
day of
My Commission expires:
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
(OFFICII I�!!1i,,
lft'1�11"If .11

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 wastewa
treatment facility. The facility has the ultimate prerogative to deny discharges of
incoming wastewater stream. % ft 0
any wastes
Elisha, Self 1002187 Catawba Water Pollution Control Facility
(Plant Operator in Responsible Charge (ORC), ORC License Number,, Name of Plant)
1000 Vine Arden Rd / P.O Box 3448 Morganton, NC 28655
do hereby auto
• (Phone Number)
W
(Address)
ir
illiam Garrison
rize
(Owner/Operator
ter
to the
ly
of Septage Management Firm)
Eco Clean Septic Services 01390
of NCS #
(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
Burke County
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Catawba River Water Pollution Facility
(Location)
between the hours of 7:00 AM - 7:00 PM
ReintroducingX
partially treated liquid into a grease trap is acceptable Yes No
This authorization shall [111e valid un
Signed � . /00(
til December 31, 2023
(Usually December 31, Year)
(Facilify
Operator)
Subscribed and affirmed before me this
iruwr y ruU11Lj
rI
t4h1h.
Date ) W.
day of LON\ r zo MY
Commission expiry
Note: falsification of this document by the septage management firm shall
S:/SofidFirm ApplicationJWWTP Authorization Form 2018
828 38-5285

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First Name
Last Name
Received IVCredit Hours
of Continuing Education
This C rtifjlof Attendance Presented By:
NIDRT'li CAROLINA SEPTIC TANK ASSOCIATION
Hours Accredited by:
NCOWCICB Installer/inspector/Evaluator
NC Division of Waste Mgmt
Septage Firm MgMt 4 Hours
Land Applicat40
ion SLAS
REHS Board
WPCSOCC CE03191906 (Subsurface Operator)
❑ Other.
Important: Keep this in a safe place.
Date
Signed:
-w-)
f 4P.
Jerry O. Pearce, NCSTA President
Duplicates are not available.
2021
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NC SEPTAGE MANAGEMENT FIRM
Recertification of Pumper Vehicle(s)
Septage Firm Permit #: NCS- 01390
Number of Pumper Vehicles:
CERTIFICATION:
"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the
submitted permit application meet the requirements for safe and sanitary
transportation of septage as required by15A NCAC 13B .0844 (a) and vehicle
lettering as required by 15A NCAC 13B .0844 (b). I also certify that a log is
maintained of each septage pumping event as required by 15A NCAC 13B .0839
(a). I am aware that there are significant penalties for false certification including
the possibility of fine and imprisonment."
Signature (Signature of company official required) Date
William Garrison
Print Name
Title
12-6-22
12-6-22
SASoIid_Waste\cla\septage\forms\Pumper Vehicles Cetification.doc