NCS01412_2023Permit_Initial

2023
Permit and Registration
Triple AAA Portable Toilets
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01412
o and registered as a
e:,e D
NORTH
EQ
4%L 12. 9*
-�� Septage Management Firm�� �� w� ��nffii�utr
E� M
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:
Cape Fear Public Utility Authority, Wilmington, NC
Schwartz WWTP, Myrtle Beach, SC
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 12:35:54-05'00'
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*
Triple AAA Portable Toilets
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
NCS-01412
Enter the five digits following the NCS #
Street address of office*
Street Address
5779 MANLEY SMITH RD
Address Line 2
City
State / Province / Region
NAKINA
NC
Postal / Zip Code
Country
28455
United States
County*
Columbus
Mailing address same as street address of office?*
• Yes No
Phone*
Fax
9106426417
Email*
[e-mail]
Owner Info
Firm owner's name*
Robert Stocks
Mailing address same as street address of office?*
• Yes No
Phone* Fax
9107701593
Operator Info
Firm operator's name* Firm operator's title
Robert Stocks Owner
Mailing address same as street address of office?*
0 Yes No

Phone* Fax
9107701593
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic
0
Portable Toilet Waste
27,500
Grease (Restaurant)
0
Treatment Plant
0
Industrial/Commercial
0
North Carolina counties of operation
List each county you plan to do business in: *
Columbus, Brunswick, New HanoverRO
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
Date*
12/15/2022
Title*
Owner
Choose how to add vehicle descriptions*
• Add vehicles individually Upload List
Pumper
Vehicles
Usage*
License Tag #*
Vehicle Identification #*
Tank Capacity*
Portable
Toilet Waste
NR-4338
1htmkaal29h152899
700
Portable
Toilet Waste
Hn-3771
3c7wrtclxjg250045
400
Portable
Toilet Waste
Hn-5742
igdec4c1286f433899
450
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
Grand Strand Water and Sewer 12/31/2023
Authority
Cape Fear Public Utlilty Authority 12/31/2023
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*
9/8/2022 4
Location*
Washington, 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
Will mail WWTP Authorization Forms. 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
12/15/2022
08:04:34 PM
Print Name* Title*
Robert Neil Stocks Owner

Cage Fear
PublIC Utility Authoritv
R"ardship, SuAwn 111tv. slervIce.
October 26, 2022
Mr. Robert Stocks
5779 Manley Smith Rd
Nakina, NC 28455
RE: Authorization to Discharge Septage t
Dear:mr, Stocks:
o a Cape Fear Public Utill
235 Government Center Drive
Co. u n
Wilmington, NC 28403
Phone: (910) 33 ?-FS�st
Fax: (gio
ty.0ompliance(
332-6730
c1f p u a - o r
www.CfPua.org
ty Authority Wastewater Treatment Facility
Your new discharge permit #13 is based upon Information provided by you
pursuant to the requirements of North Carolina General Statue 143.215,1 <
Sewer Use Ordinance. Please read this permit carefully.
The North Caro
lina Department of Environmental r)H.211*t.. n:..t_:__
uIres you to provide autho
in your application. The permit is Issued
and the Cape Fear Public Utility AuthorlItys
o
rvibivnr waste Management -Solid Waste Secti
rization to discharge septage to aCFPtjA W�3ctjn,.,on.,.,._ .____ _
Fee assessments and waste determinations
facility. The facility has the ultimate preroga
stream,
Reintroducing partially treated liquid into
sep rage management firm shall lead t
-� • ••�,•�v.aLC► Treatment facility,
will be required at the discretion of �Fo� �n -� ...__._ _
five to deny discharges of
�►dSjewater treatment -
anYwastes t�lo the inco ing wastewater
-��� •aN zo "ut acceptable. alsification of this document b
V This authorization qhatr ho , .., :a ..__, ..
I, Geoffrey Cermak, ORC License Number WW27164
Wilmington, NC do hereby authorize Robert Stocks(
domestic sPntaoA u,n .,,
November 1, 2027.
at the lames A. Loughlin W P located atf Triple 2311 North 23rc� St,
---�•�d� ••a��C ec within the CFPUA Servi eAArea toAA. Toilets, NCS JL4 12, to dispose of
Loughlin WWTp between the hours of S;pp am the septage receiving station at the dames A.
If you have any questions or concerns regar
332-ding any item within this permit
6422 or Maggie Butler at (910)-332-6559. if no comments arPlIease
contact Sherri Anderson at (910)
receptie receiveof this permit, it Shall be considered final and binding. Your office within thirty (30} days of
Sincerely,
Geoffrey Cermak `N v
Cape Fear Public Utility Authority
Wastewater Treatment Supervisor
e-co Milton Vann
, Wastewater Treatment Superintendent
eth Eckert, EMD Drectori
-W r-- �& =a3dI �

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.
Kevin Miller, License # 5486, Schwartz WWTP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
6298 Schwartz Plant Rd, Myrtle Beach, SC
843443-8200
(Phone Number)
o hereby authorize
(Address)
Robert Nell Stocks
(Owner/Operator of Septage Management Firm)
of Triple AAA Portable Toilets NCS # 01412
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage portable toilet waste X
grease septage (grease trap pumpings) commercial/industrial septage , from
Dillon , Marion, and Horry Counties, Sc Columbus County, NC
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Schwartz WWTP
between the hours of
7:30-3:30 (Location)
X
Reintroducing partially treated liquid into a grease trap is acceptable Yes No
This authorization shall be valid until 2 3 1 " 23
(Usually December 31, Year)
r r _ /
Signed Date. .G ! " .2 7
(Facility O erator)
Subscribed and affirmed before me this 1 �t day of FK—D(uc' � 20 23
O\,,Xo- My Commission expires:
(Notary Public)
(OFFICIAL SEAL)
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WWTP Authorization Form 2016