NCS01392_2023Permit_Initial

2023
Permit and Registration
Stallings Rock Store Bar-B-Que
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01392
- o and registered as a
a= 12 S eptage Management Firm QepartmeTH n[ f E vir nmeotalQulity
M"MNORTH CAROLINA (RESTAURANT)
Frivironmental 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. Material removed from an interior point -of -use grease interceptor is treated to remove any free liquids, bagged, and placed into a dumpster. Solid Waste Management Rule
15A NCAC 13B .1626(9)(c)(i) defines "free liquids" as determined by Method 9095 (Paint Filter Liquids Test) S. W. 846.
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 by
Y Wm Perry Sugg
Date: 2023.02.27
Sugg 12:31:08-05'00'
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*
Stallings Rock Store BBQ
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01392
Enter the five digits following the NCS #
Street address of office*
Street Address
3116 Old Charlotte Hwy
Address Line 2
City
State / Province / Region
Stallings
NC
Postal / Zip Code
Country
28104
United States
County*
Union
Mailing address same as street address of office?*
Yes • No
Mailing Address*
Street Address
P 0 Box 1603
Address Line 2
City
State / Province / Region
Indian Trail
NC
Postal / Zip Code
Country
28079
United States
Phone* Fax
7042000281
Email*
[e-mail]
Owner Info
Firm owner's name*
Jack Chavis
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
7042000281
Operator Info
Firm operator's name* Firm operator's title
Jack Chavis VP
Mailing address same as street address of office?*
• Yes No
Phone* Fax
7042000281
Approximate amount of Grease Septage managed within the last 12 months
Amount in gallons*
Grease (Septage) 525
North Carolina counties of operation
List each county you plan to do business in:
Union
Vehicle Info
Do you plan to operate pumper vehicles?*
Yes • No
Procedure to Clean an Interior Point -Of -Use Grease Interceptor
Please read the following procedure and and check the box acknowledging you have read the procedures.
Note: Interceptor must be cleaned when the sinks are not being used and no food preparation is taking place. Do not VIOLATE any
Health Department Regulations.
1. Obtain proper tools to open the interceptor.
2. Place plastic trash bags (or any disposable item) on floor to protect floor from contamination.
3. Remove lid from interceptor and place upside down on floor protection item.
4. Skim grease from top of interceptor and place in a container lined with two strong disposable bags.
5. Scrape walls of the interceptor with a wide putty knife or similar item to remove solids and grease that have accumulated on the
walls.
6. Remove solids from the bottom of the interceptor and place in the same container with the grease skimmings.
7. Inspect the trap for any equipment deficiencies and make repairs.
8. Place lid on interceptor carefully. Make sure lid is sealed properly or odors will be released.
9. Place floor covering item in the trash dumpster.
10. Remove container with grease and solids from the food preparation area.
11. Solidify contents with an absorbent material such as kitty litter. Make sure all contents are solidified. This may take several minutes
for the material to absorb all of the liquid.
12. Tie bags together securely.
13. Inspect bag for leaks and re -bag if needed.
14. Place bag in trash dumpster.
15. Clean the area and sanitize all surfaces in the areas as prescribed by the Health Department.
Acknowledgement*
✓ I acknowledge I have read the procedure to clean an interior point -of -use grease interceptor.
Septage Management Operator Training U

Indicate which type of training you have completed.*
In -person training • Online training
Online Training
In accordance with North Carolina General Statute 130A-291.3(a) requiring septage management firm operators to attend a training course
approved pursuant to subsection (d) of said section of no less than four hours of instruction per year, I certify that I have met my septage
management firm permit annual training requirements. Furthermore, I certify that the following person(s) have completed the requisite four (4)
hours of training via the online N.C. Division of Waste Management Solid Waste Section's presentations/training developed specifically for
restaurants which have applied for or are renewing a North Carolina Septage Management Firm Permit:
Person(s) completed training:
Name*
Jack Chavis
Position/Title*
VP
Date of training*
10/6/2022
Registration Type
Select one*
• Registered Septage Management Firm
Comments and Notes
Comments or notes
We only do the grease for our restaurant. We is kitty litter and trash bag to
gather and discard 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
Im
Date
1/24/2023
06:11:41 PM
Print Name* Title*
Jack Chavis VP