NCS01395_2023Permit_Initial

2023
Permit and Registration
George's Grading & Septic Tank Service, LLC
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01395
o and registered as a
e:,e D E
-�� 12 Septage Management Firm ��en� f� w� nmental Ouallty
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. Lower Creek WWTP, Lenoir, NC
2. Septage Detention or Treatment Facility, SDTF-36-15
3. Clark Creek WWTP, Newton, 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 by
Y Wm Perry Sugg
Date: 2023.02.27
Sugg 112:3234-0500?
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*
George's Grading & Septic Tank Service,
LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01395
Enter the five digits following the NCS #
Street address of office*
Street Address
545 School Dr
Address Line 2
City
State / Province / Region
Taylorsville
North Carolina
Postal / Zip Code
Country
28681
United States
County*
Alexander
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
8283122197
Email*
[e-mail]
Owner Info
Firm owner's name*
P. Anthony George
Mailing address same as street address of office?*
• Yes No
Phone* Fax
8283122197
Operator Info
Firm operator's name* Firm operator's title
P. Anthony George Owner/Operator
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
8283122197
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 100,500
Portable Toilet Waste 0
Grease (Restaurant) 13,030
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Alexander, Catawba, Iredell, Caldwell, Burke, Wilkes, Lincoln
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
OK-611—�y a�of
Date*
12/15/2022
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 YA137137 1XPCDR9XOPN329332
3,500
Grease (restaurant) YA137137 1XPCDR9XOPN329332
3,500
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* Expiration Date* Authorization
City of Lenoir WWTP 12/31/2023 Caldwell 328.7KB
County 2023
Permit.pdf
Septage Land Application Sites (SLAS) *
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 #*
4..
Other disposal method*
Expiration Date*
12/31/2023
Authorization
Earth Farms 271.47...
2023
Permit.pdf
Yes • No
Septage Management Firm Operator Training Completed
Date* Hours*
3/29/2021 6
Location*
Hickory Metro 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
Will have some other facility permits when they have paperwork ready and I
will email them to 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
12/15/2022
03:52:25 PM
Print Name* Title*
P. Anthony George Owner/Operator

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.
I, Donnie R. Hawkins ORC WWTP Operator 4 9876925 City of Lenoir - Lower Creek WWTP NC0023981
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
1905 Broadland Road, Lenoir, NC 28645 (P.O. Box 958, Lenoir NC 28645)
(Address)
[phone] do hereby authorize AnthonyGeorge
(Phone Number) (OwnerlOperator of Septage Management Firm)
of Geor e's Grading & Septic Service NCS # 01395
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X , portable toilet waste X
from Caldwell Catawba Alexander and Iredell Counties
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Septaqe Receivinq Station cnr. Lower Creek WWTP
(Location)
between the hours of 7:00 a.m. until 7:00 p.m., Monday through Saturday
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until December 31 2023
(Usually December31, Year)
C C
Signed41 Date
( acility Operator)
Subscribed and affirmed before- me this 1� day of b0fA. +' 20 ZZ—
1 Z4�e-`-- L � � �, My Commission expires: 2 Z3
(Notary Public)
♦�►►►►iETH ►!//VA
(OF w�AQ $�i
a N�TAI�Y
Note: Falsification of this document by the septage management firm shall lead to permit revocation. = r a =
S:ISolid Waste/CLAISEPTAGEIFORMS12016 Firm ApplicationAN VrP Authorization Form 2016 PUBLIC O;
i�{ O ��
`,'P004�j1111O e```

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.
(Plant Operator in
1�b
z
(ORC), ORC License Number, Name of Plant)
(Address)
70 do hereby authorize
(Prone !Number) (Owner/Operator of Septa�eMn�aget Firm)
of 1� li/ T f f'i 0 ,1 - \ - . 'i, \ _ - -. -
ent Firm Name and NCS number)
to dispose of: domestic septage _ I/ portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage from
1 1
(County or other Geographic Area)
at the above named wastewater treatment facility_ 5eptage shall be discharged at:
�7 (Loca 'on)
between the ho..«s of
Reintroducing partially treated liquid into a grease trap is acceptable —Yes _�No
This authorization shall be valid until �ber
r(Usuaiiy Dec31 Year)
Signed s Date 1 1
cility Operator) /
Subscribed and affirmed before me this day of /60C "n 16er— 20
My Commission expires:
(Notary Public)
RONALD L INGRAM
NOTARYPU13LIC (OFF CIALSEAL)
Catawba County
North Carolina
MY Commission s May8, 2027
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S-/Solid_Was2e/CL"EI i%GE,rtMMS/2016 Firm Application/wVVTp Authorization Form 2016

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 given to a permitted Septage Management Firm to discharge septage into the permit
holders' detention or treatment facility.)
351 Colt Thornburg Road Dallas NC 28034
(Facility Operator) (Operation Address)
do hereby authorize(�Q !�N C L ao, _�(
(Narnc%- f Septage Manadement Firm)
(Address of Sept1ge Management Firm)
to utilize septage detention or treatment facility #SM %,-n for the treatment of septage*
in 20. The facility will be operated in accordance with the Septage Management Rules**
Date: 111 *1 -X�,
* As defined in G.S. 130A•290(a)(32)
** As defined in 15A NCAC 13B .0800
Return properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
164 Mail Service Center
Raleigh, NC 27699-1646
Signed--
(F,,cll'ity Operator)

Cobb, Chester
From: Anthony George <[e-mail]>
Sent: Thursday, December 15, 2022 4:51 PM
To: Cobb, Chester
Subject: [External] Class Hours
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
I just realized I gave you the wrong class date. I am sorry I am off my game today.
The class he did was on 01/27/22. 1 didn't think that other date seemed right when I typed it.
Thank you,
Sharon George
George's Grading & Septic Tank Service, LLC
[phone]