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Home My WebLink AboutNCS01391_2023Permit_Initial2023 Permit and Registration CAC Potty House is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-01391 oand registered as a e:,e D NORTH CAROLINA EQ�J -�� Septage Management Firm awnen� f� wrnmenta�lty 4sr 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. Rocky River Regional WWTP, Concord, NC 2. Town Creek WWTP, East Spencer, 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 Sugg 112:30 301 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* CAC Potty House The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) 01391 Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX) Street address of office* Street Address 407 S Salisbury GQ Ave Address Line 2 City State / Province / Region Granite Quarry NC Postal / Zip Code Country 28146 USA County* Rowan Mailing address same as street address of office?* Yes • No Mailing Address* Street Address PO Box 1015 Address Line 2 City State / Province / Region Granite Quarry NC Postal / Zip Code Country 28072 USA Phone* Fax 7042783719 Email* cac_plumbing@yahoo.com Owner Info Firm owner's name* Cedric A Cuthbertson Mailing address same as street address of office?* Yes 0 No Mailing Address* Street Address PO Box 1015 Address Line 2 City Granite Quarry Postal / Zip Code 28072 State / Province / Region NC Country USA Phone* Fax 7042783719 Operator Info Firm operator's name* Firm operator's title Cedric A Cuthbertson Owner Mailing address same as street address of office?* Yes • No Mailing address* Street Address PO Box 1015 Address Line 2 City State / Province / Region Granite Quarry NC Postal / Zip Code Country 28072 USA Phone* Fax 7042783719 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 35,000 Portable Toilet Waste 55,000 Grease (Restaurant) 0 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: * Rowan Co. Cabarrus Co. Davidson Co. Davie Co. Mecklenburg Co. Stanly Co. Iredell Co. 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 Cru�, G`��t.tr.;kar Date* 1/23/2023 Title* Owner Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage HN967NC 1FDVF5GTDGE030405 800 Portable Toilet Waste HN967NC 1FDVF5GTDGE030405 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 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* Town Creek Septage Land Application Sites (SLAS) Yes • No Septage Detention or Treatment Facility (SDTF) Yes 0 No Expiration Date* Authorization 12/31/2023 septic auth.pdf 1.04MB Other disposal method* Yes • No Septage Management Firm Operator Training Completed^ Date* Hours* 1/28/2022 4 Location* Hickory, 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 1/18/2023 08:20:11 AM Print Name* Title* Cedric A. Cuthbertson Owner AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environmental quality Division of Waste Management - Solid Waste Section 1.646 Mail 5ervice Center, Raleigh, NC 27699-1646 Fee assessments and waste determinations will lae 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. Charles Wood of Town Creek WWTP (Plant operator In Responsible Charge (oRC), aRC License Number, Name of Plant) 850 Heiligtown Rd, East Spencer, NC 28039 (Address) 704-638.5377 do hereby authorize Cedric Cuthbertson (Phone Number) (owner/operator of 5eptage Management Firm) of CAC Plumbing LLC NCS # 01391 (5eptage Management Firm Name and NCS number) to dispose of: domestic septage Yes portable toilet waste Yes grease septage (grease trap pumpings) No commercial/industrial septage No from ROWAN COUNTY ONLY (County or other Geographic Area) at the above named wastewater treatment facliity. 5eptage shall be discharged at: Town Creek WWTP - Influent Installation (Location) between the hours of Sam to 4m Monday -Friday, excluding CitV observed holidays 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 I - 10 Z3 (Facility Ope ] 5u scri ed and affirme b re me this C/ _ day o 20 V An My Commission expires: ~ A) / (Notary Pubfic) *"n'm�" 'Oef Note,. Falsification of this document by the septage management firm shall lead top cation 5:/Solld_Waste/CLA/SEfTAGE/F0RMS/2028 Ebro Appl1[aton/WWTP Authorltatinn Form 2018 �i� + '9N Cp 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, NC27699-1646 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, James Christian Sims #999309, Rocky River Regional Wastewater Treatment Plant (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 6400 Breezy Lane, Concord, North Carolina 28025 (Address) 704-788-4164 x114 do hereby authorize Cedric Cuthbertson (704-278-3719) (Phone Number) (Owner/Operator of Septage Management Firm) of CAC Potty House NCS # 01391 (Septage Management Firm Name and NCS number) to dispose of: domestic septage YES , portable toilet waste YES , grease septage (grease trap pumpings) NO commercial/industrial septage NO , from Cabarrus and surrounding counties. (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: 6400 Breezy Lane, Concord, NC 28025 (Location) between the hours of7AM and 7PM Monday -Saturday: Sunday upon request. Reintroducing partially treated liquid into a grease trap is acceptable Yes d No This authorization shall be valid until December 31, 2023 (Usually December 31, Year) Signed / Date October 18, 2022 James Christian Sims, Facility ORC Subscribed and affirmed before methis Un � Angela Hill, N tary Public 18th day of October , 20 �2 My Commission expires: May 15, 2025 P.oTA' i co —® J ,,,/ cO�� No��. Note: Falsification of this document by the septage management firm shall lead to permit revocation. '��7//ITV;11111lll��W�� S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018